Provider Demographics
NPI:1114288594
Name:DAYS ADULT DAY CARE AND PERSONAL CARE PROVIDERS INC
Entity Type:Organization
Organization Name:DAYS ADULT DAY CARE AND PERSONAL CARE PROVIDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-363-7770
Mailing Address - Street 1:2057 E 79TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-5042
Mailing Address - Country:US
Mailing Address - Phone:773-363-7770
Mailing Address - Fax:773-363-7774
Practice Address - Street 1:2057 E 79TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-5042
Practice Address - Country:US
Practice Address - Phone:773-363-7770
Practice Address - Fax:773-363-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-02
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2098577253Z00000X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care