Organization Active NPI

Faith Home Care Services

  • Clinical Medical Laboratory
  • Waukegan, IL
National Provider Identifier
1265610299
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FAITH HOME CARE SERVICES
Practice address
1014 Washington St
Waukegan, IL 60085-5153
Phone
(224) 610-0434
Fax
(855) 325-1872
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Opal Mullings
Title
Director
Phone
(224) 610-0434

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246RP1900X
Clinical Medical Laboratory 291U00000X IL Primary

Addresses

Primary practice location

1014 Washington St
Waukegan, IL 60085-5153

Mailing address

1014 Washington St
Waukegan, IL 60085-5429
Phone (224) 610-0434

Other names 1

  • FHCS MOBILE LABORATORY SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

8770 W Bryn Mawr Ave
Ste 1445
Chicago, IL 60631
Phone (708) 588-1865

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1265610299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 WASHINGTON ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600855429",
            "telephone_number": "224-610-0434",
            "fax_number": "855-325-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WASHINGTON ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600855153",
            "telephone_number": "224-610-0434",
            "fax_number": "855-325-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "MULLINGS",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "224-610-0434",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FHCS MOBILE LABORATORY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.