Active NPI
Faith Home Care Services
- Clinical Medical Laboratory
- Waukegan, IL
National Provider Identifier
1265610299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Home Health Agency
- Zion, IL
- NPI 1245337948
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.