Organization Active NPI

Dove Haven Home Care LLC

  • Home Health Aide
  • Tinley Park, IL
National Provider Identifier
1851247530
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
DOVE HAVEN HOME CARE LLC
Practice address
16649 Oak Park Ave Ste H1071
Tinley Park, IL 60477-1842
Phone
(708) 635-7464
NPI assigned
Mar 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Mariah Wilson, OWNER
Title
Administrator
Phone
(708) 635-7464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

16649 Oak Park Ave Ste H1071
Tinley Park, IL 60477-1842

Mailing address

16649 Oak Park Ave Ste H1071
Tinley Park, IL 60477-1842
Phone (708) 635-7464

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1851247530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16649 OAK PARK AVE STE H1071",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771842",
            "telephone_number": "708-635-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16649 OAK PARK AVE STE H1071",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771842",
            "telephone_number": "708-635-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE HAVEN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-635-7464",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.