Organization Active NPI

Dominion Home Health Care Inc.

  • Home Health Agency
  • Lansing, IL
National Provider Identifier
1295062404
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011216 Issued in IL
Legal business name
DOMINION HOME HEALTH CARE INC.
Practice address
3434 Ridge Rd
Lansing, IL 60438-3102
Phone
(708) 858-6132
Fax
(708) 858-6156
NPI assigned
Nov 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Victor Okezie Ike
Title
Administator
Phone
(708) 527-0808

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IL
Home Health Agency 251E00000X 1011216 IL Primary

Addresses

Primary practice location

3434 Ridge Rd
Lansing, IL 60438-3102

Mailing address

3434 Ridge Rd
Lansing, IL 60438-3102
Phone (708) 858-6132

National Provider Directory

National Provider Directory

Locations

3434 Ridge Rd
Lansing, IL 60438
Phone (708) 858-6132

3043 Ridge Rd
Ste 102
Lansing, IL 60438
Phone (708) 638-8012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1295062404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 RIDGE RD",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383102",
            "telephone_number": "708-858-6132",
            "fax_number": "708-858-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 RIDGE RD",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383102",
            "telephone_number": "708-858-6132",
            "fax_number": "708-858-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "IKE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "OKEZIE",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "708-527-0808"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.