Organization Active NPI

Friends of the Family Homecare Reba Works LLC

  • In Home Supportive Care Agency
  • Evanston, IL
National Provider Identifier
1003368523
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3001060 Issued in IL
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

Updated by the provider on Nov 1, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.