Dezyeve Proirity Homecare
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Montgomery, IL
NPI 1154072304 · NPPES record last updated Jan 10, 2022
Key facts
- NPI
- 1154072304
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- DEZYEVE PROIRITY HOMECARE
- Practice address
- 2514 Caliendo Cir
Montgomery, IL 60538-4015 - Phone
- (331) 980-9016
- NPI assigned
- Jan 10, 2022
- Organization subpart
- No
Authorized official
- Name
- Nkeng B Ngwemoh, RN
- Title
- Ceo
- Phone
- (331) 980-9016
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
2514 Caliendo Cir
Montgomery, IL 60538-4015
Mailing address
2514 Caliendo Cir
Montgomery, IL 60538-4015
Phone (331) 980-9016
Other names
- DEZYEVE PROIRITY HOMECARE
Other providers in Montgomery, IL
- Robert Lee Dabney Jr.
- David C. Clinton, P.C.
- Dhara R Dedhia
- Ryan Joseph Desalvo
- Dezyeve Priority Homecare LLC
- Diamond Homecareservices LLC
- Elizabeth DO
- Terrence J Eckstein
- Emb Inc
- Enroute and on Time Transportation LLC
All providers in Montgomery, IL · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.