Active NPI
D & D Services, Inc.
Doing business as Aveanna Healthcare - IL
- Nursing Care Agency
- Fairview Heights, IL
National Provider Identifier
1205205952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- D & D SERVICES, INC.
- Doing business as
- Aveanna Healthcare - IL
- Practice address
- 331 Salem PL Ste 115
Fairview Heights, IL 62208-1340 - Phone
- (618) 467-1100
- Fax
- (618) 467-1102
- NPI assigned
- Sep 23, 2015
- Last updated
- Jan 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Buckhalter
- Title
- Cfo
- Phone
- (470) 464-8000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Nursing Care Agency | 251J00000X | NU | Primary |
Addresses
Primary practice location
331 Salem PL Ste 115
Fairview Heights, IL 62208-1340
Mailing address
400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000
Other names 1
- Aveanna Healthcare - IL
National Provider Directory
National Provider Directory- Tax ID family
- D D Services Inc
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Preferred Home Health Care Midwest
- Home Health Agency
- Galva, IL
- NPI 1134890031
-
dba Preferred Pediatric Home Health Care Inc
- Durable Medical Equipment & Medical Supplies
- Oklahoma City, OK
- NPI 1740368026
-
dba Preferred Pediatric Home Health Care
- Home Health Agency
- Saint Louis, MO
- NPI 1043695414
Locations
331 Salem Pl
Ste 115
Fairview Heights, IL 62208
Phone (618) 467-1100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1205205952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 INTERSTATE NORTH PKWY SE STE 1600",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395047",
"telephone_number": "470-464-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 SALEM PL STE 115",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622081340",
"telephone_number": "618-467-1100",
"fax_number": "618-467-1102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D & D SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-23",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "BUCKHALTER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "470-464-8000"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aveanna Healthcare - IL",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.