Provider Demographics
NPI:1710264643
Name:DV MANAGEMENT SERVICES GROUP,INC.
Entity Type:Organization
Organization Name:DV MANAGEMENT SERVICES GROUP,INC.
Other - Org Name:AMG ADAMS MANAGEMENT GROUP.INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT /CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANDREA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-307-4930
Mailing Address - Street 1:7927 S VERNON AVE
Mailing Address - Street 2:1ST FL
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-3711
Mailing Address - Country:US
Mailing Address - Phone:773-723-1185
Mailing Address - Fax:
Practice Address - Street 1:7927 S VERNON AVE
Practice Address - Street 2:1ST FL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-3711
Practice Address - Country:US
Practice Address - Phone:773-723-1185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D&V MANAGMENT SERVICES GROUP,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-06
Last Update Date:2011-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILD6756-841-9251B00000X
IL251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health