Provider Demographics
NPI:1689358392
Name:TBF CARE SERVICES INC
Entity Type:Organization
Organization Name:TBF CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAKALA
Authorized Official - Middle Name:B
Authorized Official - Last Name:FOMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-420-6894
Mailing Address - Street 1:2916 CENTRAL ST FL 2
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1212
Mailing Address - Country:US
Mailing Address - Phone:224-547-0767
Mailing Address - Fax:847-589-5944
Practice Address - Street 1:2916 CENTRAL ST FL 2
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1212
Practice Address - Country:US
Practice Address - Phone:224-547-0767
Practice Address - Fax:847-589-5944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care