Seasons Community Outreach Services - Home Service Agency

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

SEASONS COMMUNITY OUTREACH SERVICES - HOME SERVICE AGENCY

Practice address

16148 Kedzie Ave
Markham, IL 60428-4603

Phone

(708) 331-8875

NPI assigned

Feb 15, 2023

Last updated

Feb 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faye Dodson

Title

Agency Manager

Phone

(708) 634-4047

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1174220602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16148 KEDZIE AVE",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604284603",
            "telephone_number": "708-634-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16148 KEDZIE AVE",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604284603",
            "telephone_number": "708-331-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS COMMUNITY OUTREACH SERVICES - HOME SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "708-634-4047"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Homemaker in Markham, IL
• Providers in Markham, IL by specialty
• Homemaker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.