Provider Demographics
NPI:1003244583
Name:THE HOLY FAMILY GROUP, INC.
Entity Type:Organization
Organization Name:THE HOLY FAMILY GROUP, INC.
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-326-4001
Mailing Address - Street 1:354A W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-1611
Mailing Address - Country:US
Mailing Address - Phone:708-326-4001
Mailing Address - Fax:801-772-7817
Practice Address - Street 1:12236 W THOMAS CT
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-9435
Practice Address - Country:US
Practice Address - Phone:708-326-4001
Practice Address - Fax:801-772-7817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-21
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000285253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care