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NPI Code Detail

MEDICARE: FAMILY HOME HEALTH SERVICES, INC.

MEDICARE: FAMILY HOME HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency1010146IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
150261OTHERILHOME HEALTH

General Provider Information

NPI Number : 1164474565
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY HOME HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 2171 W EXECUTIVE DR
Second Line : SUITE 450
City : ADDISON
State : IL
Zip : 60101-5610
Country : US
Telephone Number : 630-317-3300
Fax Number : 630-317-3310
Provider Business Practice Location Address
First Line : 2171 W EXECUTIVE DR
Second Line : SUITE 450
City : ADDISON
State : IL
Zip : 60101-5610
Country : US
Telephone Number : 630-317-3300
Fax Number : 630-317-3310
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. DEB MUFFOLETTO
Credential :
Telephone Number : 630-317-3300
Provider Enumeration Date : 05/16/2006
Last Update Date : 08/05/2009

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Directions to “FAMILY HOME HEALTH SERVICES, INC. ” Practice Location

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