Healthcare Provider Details

I. General information

NPI: 1073256111
Provider Name (Legal Business Name): FLAWLESS FAMILY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2022
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 N MILL ST
PONTIAC IL
61764-1823
US

IV. Provider business mailing address

PO BOX 226
PONTIAC IL
61764-0226
US

V. Phone/Fax

Practice location:
  • Phone: 855-815-1585
  • Fax: 779-444-0510
Mailing address:
  • Phone: 855-815-1585
  • Fax: 779-888-8198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. JESSICA ARMOUR
Title or Position: CEO
Credential:
Phone: 855-815-1585