Provider Demographics
NPI:1578909156
Name:WEBSTER'S HOME SERVICES INC
Entity Type:Organization
Organization Name:WEBSTER'S HOME SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BRADIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-730-3500
Mailing Address - Street 1:18503 TORRENCE AVE
Mailing Address - Street 2:STE 2B
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-2839
Mailing Address - Country:US
Mailing Address - Phone:708-730-3500
Mailing Address - Fax:
Practice Address - Street 1:18503 TORRENCE AVE
Practice Address - Street 2:STE 2B
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-2839
Practice Address - Country:US
Practice Address - Phone:708-730-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL5922-478-6253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care