Provider Demographics
NPI:1326521782
Name:DCARE INCORPORATED
Entity Type:Organization
Organization Name:DCARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEDOYIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-941-4468
Mailing Address - Street 1:18656 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-3729
Mailing Address - Country:US
Mailing Address - Phone:708-307-9876
Mailing Address - Fax:888-959-4348
Practice Address - Street 1:18656 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-3729
Practice Address - Country:US
Practice Address - Phone:708-307-9876
Practice Address - Fax:888-959-4348
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DCARE INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1010477Medicaid
IL148261OtherMEDICARE