Provider Demographics
NPI:1417645581
Name:DAY BY DAY SOLUTIONS HOME
Entity Type:Organization
Organization Name:DAY BY DAY SOLUTIONS HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BAIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVYDENKOVAS
Authorized Official - Suffix:
Authorized Official - Credentials:LSW, QMHP
Authorized Official - Phone:708-738-6712
Mailing Address - Street 1:12243 S 69TH AVE
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1623
Mailing Address - Country:US
Mailing Address - Phone:708-738-6712
Mailing Address - Fax:
Practice Address - Street 1:58 APACHE ST
Practice Address - Street 2:
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-1434
Practice Address - Country:US
Practice Address - Phone:708-738-6712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty