# SEASONS HOME CARE AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790529725
- **Authorized official:** FAYE DODSON (AGENCY MANAGER)
- **Authorized official phone:** (708) 288-8897

## Contact information

- **Practice address:** 16148 KEDZIE AVE STE 400, MARKHAM, IL 60428-4603
- **Practice address phone:** (708) 628-2334
- **Practice address fax:** (708) 628-2335
- **Mailing address:** 16148 KEDZIE AVE STE 400, MARKHAM, IL 60428-4603
- **Mailing address phone:** (708) 628-2334
- **Mailing address fax:** (708) 628-2335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 376J00000X | Homemaker | — | NULL | Yes |
| 376J00000X | Homemaker | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2024
- **Last updated:** 06/24/2024