Dominguez Development Group Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DOMINGUEZ DEVELOPMENT GROUP INCORPORATED

Practice address

72 S la Grange Rd Ste 9
La Grange, IL 60525-6318

Phone

(708) 832-4042

Fax

(708) 854-6038

NPI assigned

Mar 28, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Hermencia Dominguez, RN, BSN

Title

Co-Owner/Administrator

Phone

(708) 244-9225

Specialties & licenses 4

Addresses

Other names 1

• Nurse Next Door- La Grange Doing business as

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1881344281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 S LA GRANGE RD STE 9",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256318",
            "telephone_number": "708-832-4042",
            "fax_number": "708-854-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 S LA GRANGE RD STE 9",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256318",
            "telephone_number": "708-832-4042",
            "fax_number": "708-854-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINGUEZ DEVELOPMENT GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "HERMENCIA",
        "authorized_official_title_or_position": "CO-OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "708-244-9225",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurse Next Door- La Grange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Ann Dewolfe, APN
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• Tahyri Diaz, MD
• Richard A Disanto, PA-C
• David R Doyle, DPM
• Dr James Young , PC
• Brian Drelicharz, LCSW
• Kayla Droessler, MS, RDN, LDN
• John George Duffy, PSYD

• Home Health Agency in La Grange, IL
• Providers in La Grange, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.