Active NPI
Friends of the Family Homecare Reba Works LLC
- In Home Supportive Care Agency
- Evanston, IL
National Provider Identifier
1003368523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 3001060
- Legal business name
- FRIENDS OF THE FAMILY HOMECARE REBA WORKS LLC
- Practice address
- 713 Main St
Evanston, IL 60202-1701 - Phone
- (224) 420-1802
- NPI assigned
- Nov 1, 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
- Adam Vaughan
- Title
- Managing Member
- Phone
- (224) 420-1802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 3001060 | IL | Primary |
Addresses
Primary practice location
713 Main St
Evanston, IL 60202-1701
Mailing address
713 Main St
Evanston, IL 60202-1701
Phone (224) 420-1802
National Provider Directory
National Provider DirectoryLocations
713 Main St
Evanston, IL 60202
Phone (224) 420-1802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477958400000",
"number": "1003368523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 MAIN ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021701",
"telephone_number": "224-420-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 MAIN ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021701",
"telephone_number": "224-420-1802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDS OF THE FAMILY HOMECARE REBA WORKS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-01",
"last_updated": "2016-11-01",
"status": "A",
"authorized_official_last_name": "VAUGHAN",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "224-420-1802"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "IL",
"license": "3001060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.