Provider Demographics
NPI:1427284348
Name:DCARE INCORPORATED
Entity type:Organization
Organization Name:DCARE INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEDOYIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-941-4468
Mailing Address - Street 1:18656 DIXIE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430
Mailing Address - Country:US
Mailing Address - Phone:773-941-4468
Mailing Address - Fax:773-941-4469
Practice Address - Street 1:18656 DIXIE HIGHWAY
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430
Practice Address - Country:US
Practice Address - Phone:773-941-4468
Practice Address - Fax:773-941-4469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010477251E00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1010477Medicaid
IL1010477Medicaid