Provider Demographics
NPI:1336510296
Name:DSC HOMECARE SERVICES INC
Entity Type:Organization
Organization Name:DSC HOMECARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:STONE-CASPER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:618-742-0005
Mailing Address - Street 1:226 MAIN ST
Mailing Address - Street 2:PO BOX 25
Mailing Address - City:MOUND CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62963-1168
Mailing Address - Country:US
Mailing Address - Phone:618-742-0005
Mailing Address - Fax:
Practice Address - Street 1:226 MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUND CITY
Practice Address - State:IL
Practice Address - Zip Code:62963-1168
Practice Address - Country:US
Practice Address - Phone:618-742-0005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041434885251J00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care