Provider Demographics
NPI:1942008628
Name:DIRECT HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:DIRECT HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOKENKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-567-8132
Mailing Address - Street 1:2250 E DEVON AVE STE 341
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4509
Mailing Address - Country:US
Mailing Address - Phone:773-516-4196
Mailing Address - Fax:
Practice Address - Street 1:2250 E DEVON AVE STE 341
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4509
Practice Address - Country:US
Practice Address - Phone:773-516-4196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care