Organization Active NPI

Family Choice Home Health

Doing business as Family Choice

  • Homemaker
  • Chicago, IL
National Provider Identifier
1003157298
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14D1076797OtherILCLIA ID NUMBER

Other names 1

  • Family Choice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Choice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.