Active NPI
Family Choice Home Health
Doing business as Family Choice
- Homemaker
- Chicago, IL
National Provider Identifier
1003157298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Legal business name
- FAMILY CHOICE HOME HEALTH
- Doing business as
- Family Choice
- Practice address
- 5933 N Milwaukee Avenue
Chicago, IL 60646 - Phone
- (773) 774-6630
- Fax
- (773) 774-1470
- NPI assigned
- Mar 13, 2013
- Last updated
- Nov 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lino Costales Jr.
- Title
- Agency Manager
- Phone
- (773) 774-6630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | NU | Primary |
Addresses
Primary practice location
5933 N Milwaukee Avenue
Chicago, IL 60646
Mailing address
5933 N Milwaukee Ave
Chicago, IL 60646-5419
Phone (773) 774-6630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14D1076797 | Other | IL | CLIA ID NUMBER |
Other names 1
- Family Choice
National Provider Directory
National Provider Directory- Tax ID family
- Family Choice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Chicago, IL
- NPI 1558529321
Locations
5933 N Milwaukee Ave
Chicago, IL 60646
Phone (773) 774-1272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479772800000",
"number": "1003157298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5933 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465419",
"telephone_number": "773-774-6630",
"fax_number": "773-774-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5933 N MILWAUKEE AVENUE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60646",
"telephone_number": "773-774-6630",
"fax_number": "773-774-1470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CHOICE HOME HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-13",
"last_updated": "2016-11-22",
"status": "A",
"authorized_official_last_name": "COSTALES",
"authorized_official_first_name": "LINO",
"authorized_official_title_or_position": "AGENCY MANAGER",
"authorized_official_telephone_number": "773-774-6630",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA ID NUMBER",
"identifier": "14D1076797",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Choice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.