Provider Demographics
NPI:1578579660
Name:NIVEK HOME HEALTH AND ASSOCIATES, INC
Entity Type:Organization
Organization Name:NIVEK HOME HEALTH AND ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:YVETTA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-863-0677
Mailing Address - Street 1:1641 WEST 79TH STREET
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60621-0000
Mailing Address - Country:US
Mailing Address - Phone:773-863-0677
Mailing Address - Fax:773-863-0680
Practice Address - Street 1:1641 WEST 79TH STREET
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-4430
Practice Address - Country:US
Practice Address - Phone:773-863-0677
Practice Address - Fax:773-863-0680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010275251E00000X, 251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL=========001Medicaid