Provider Demographics
NPI:1508853961
Name:FAMILY VISITING NURSES INC
Entity Type:Organization
Organization Name:FAMILY VISITING NURSES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:KIRK
Authorized Official - Last Name:CHASTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:217-876-7219
Mailing Address - Street 1:2570 E FEDERAL DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62526-2163
Mailing Address - Country:US
Mailing Address - Phone:217-876-7100
Mailing Address - Fax:217-876-7223
Practice Address - Street 1:2570 E FEDERAL DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62526-2163
Practice Address - Country:US
Practice Address - Phone:217-876-7100
Practice Address - Fax:217-876-7223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010192251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health