DUBOIS-DOUGLAS, INC. (NPI# 1982046355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982046355 |
| Entity Type | Organization |
| Organization Name | DUBOIS-DOUGLAS, INC. |
| Practice Address |
1016 W Jackson Blvd Chicago IL 60607-2914 |
| Practice Telephone | 3122888640 |
| Practice Fax Number | 3122431516 |
| Mailing Telephone | 3122888640 |
| Mailing Fax Number | 3122431516 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | MRS. FUNMI MARTINS-MENSAH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8152953146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302R00000X | Health Maintenance Organization | 44CSA00737 | IL | Managed Care Organizations |
| N | 253Z00000X | In Home Supportive Care | QMXHPQ0915 | IL | Agencies |
| N | 305S00000X | Point of Service | QXIPQ0000096439 | IL | Managed Care Organizations |
| Y | 253Z00000X | In Home Supportive Care | 12HM519014 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0802 | 05 | |
| IL | 0302 | 05 | |
| IL | 0301 | 05 | |
| IL | 0100 | 05 |
| Street Address |
1016 W JACKSON BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699029348 | Michele Chiaramonte | Dietitian, Registered | 1016 W Jackson Blvd, #380, Chicago, IL 60607-2914 | 2012-11-02 |
| 1093328999 | Artesha Williams | Counselor | 1016 W Jackson Blvd, Chicago, IL 60607-2914 | 2020-08-28 |
| 1922619949 | Truer Ground, LLC | Case Management | 1016 W Jackson Blvd, Chicago, IL 60607-2914 | 2020-08-13 |
| 1265072136 | Bernice J LLC | Massage Therapist | 1016 W Jackson Blvd, Chicago, IL 60607-2914 | 2020-01-08 |
| 1972095891 | Explore Your Truth Incoporated | Community/Behavioral Health | 1016 W Jackson Blvd, Chicago, IL 60607-2914 | 2018-06-06 |
| 1932613791 | Susan Shekut | Counselor | 1016 W Jackson Blvd, Chicago, IL 60607-2914 | 2017-11-30 |
| 1023414976 | Housepital Company | Case Manager/Care Coordinator | 1016 W Jackson Blvd, Chicago, IL 60607-2914 | 2014-11-04 |
| 1821491010 | A1 Active Care | Home Health | 1016 W Jackson Blvd, Chicago, IL 60607-2914 | 2014-10-01 |
| 1922413301 | Altruis Medical Ltd | General Practice | 1016 W Jackson Blvd, Chicago, IL 60607-2914 | 2014-06-24 |
| 1235560160 | Insite Medical Imaging Advisors Inc | Specialist/Technologist, Other | 1016 W Jackson Blvd, Suite 104, Chicago, IL 60607-2914 | 2013-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| Find all providers in zip 60607 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212849 | Ashley Marshall | In Home Supportive Care | 11130 S Longwood Dr Apt 3, Chicago, IL 60643-4049 | 2020-10-14 |
| 1427666510 | Huma Saleem | In Home Supportive Care | 6800 N California Ave Apt 2q, Chicago, IL 60645-4547 | 2020-07-15 |
| 1548878788 | Devoted Homecare Plus LLC | In Home Supportive Care | 2051 W Howard St Ste A, Chicago, IL 60645-2113 | 2020-07-14 |
| 1962026567 | Lyfe Present LLC | In Home Supportive Care | 406 N Ridgeway Ave, Chicago, IL 60624-1230 | 2020-05-31 |
| 1114549680 | Naomi Hayles | In Home Supportive Care | 9356 S Justine St, Chicago, IL 60620-5126 | 2020-05-07 |
| 1952922346 | J&a Caregivers, LLC | In Home Supportive Care | 1165 N Clark St Ste 410, Chicago, IL 60610-7473 | 2020-04-27 |
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1215575618 | Heart of Wisdom LLC | In Home Supportive Care | 6859 W Addison St Ste 6, Chicago, IL 60634-3704 | 2019-12-16 |
| 1063057800 | Lakeshore Senior Services LLC | In Home Supportive Care | 400 E Randolph St Apt 3515, Chicago, IL 60601-7308 | 2019-11-15 |
| 1376194845 | Independence Care of Chicago LLC | In Home Supportive Care | 950 N Michigan Ave Ste 1400, Chicago, IL 60611-4500 | 2019-09-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.