Organization Active NPI

D K Healthcare Services,Inc

  • Home Health Agency
  • Evergreen Park, IL
National Provider Identifier
1083714026
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010294 Issued in IL
Legal business name
D K HEALTHCARE SERVICES,INC
Practice address
3114 W 95TH St
Evergreen Park, IL 60805-2405
Phone
(708) 229-2400
Fax
(708) 229-2404
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Khalil Memon
Title
Ceo/Associate Administor
Phone
(708) 229-2400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X 1010294 IL Primary

Addresses

Primary practice location

3114 W 95TH St
Evergreen Park, IL 60805-2405

Mailing address

3114 W 95TH Street
Evergreen Park, IL 60805
Phone (708) 229-2400

National Provider Directory

National Provider Directory

Locations

3114 W 95th St
Evergreen Park, IL 60805
Phone (708) 229-2400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1083714026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 W 95TH STREET",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-229-2400",
            "fax_number": "708-229-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052405",
            "telephone_number": "708-229-2400",
            "fax_number": "708-229-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D K HEALTHCARE SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_title_or_position": "CEO/ASSOCIATE ADMINISTOR",
        "authorized_official_telephone_number": "708-229-2400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.