| Organization Name: | FAMILY HOME SERVICE, INC |
| NPI Number: | 1366799629 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARSHA HOLMES (PROGRAM DIRECTOR) |
| Mailing Address: | 1040 W Huron St Ste 2 Chicago |
| State: | IL US |
| Postal Code: | 606428025 |
| Phone Number: | 3124551949 |
| Fax Number: | 3124551415 |
| NPI Enumeration Date: | 08/06/2012 |
| NPI Last Update Date: | 08/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |