Provider Demographics
NPI:1407327943
Name:FAMILY SOLUTIONS FOR SENIORS INC
Entity Type:Organization
Organization Name:FAMILY SOLUTIONS FOR SENIORS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR HOME HEALTH/ADM
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULOMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-317-3300
Mailing Address - Street 1:2171 W EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-5625
Mailing Address - Country:US
Mailing Address - Phone:630-317-3300
Mailing Address - Fax:630-317-3710
Practice Address - Street 1:2171 W EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-5625
Practice Address - Country:US
Practice Address - Phone:630-317-3300
Practice Address - Fax:630-317-3710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL4000445251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL364402760Medicaid