Provider Demographics
NPI:1326382748
Name:DM ENTERPRISES GROUP, INC.
Entity Type:Organization
Organization Name:DM ENTERPRISES GROUP, INC.
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CSA
Authorized Official - Phone:630-515-1185
Mailing Address - Street 1:4903 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-3509
Mailing Address - Country:US
Mailing Address - Phone:630-515-1185
Mailing Address - Fax:630-757-0172
Practice Address - Street 1:4903 FOREST AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-3509
Practice Address - Country:US
Practice Address - Phone:630-515-1185
Practice Address - Fax:630-757-0172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care