Provider Demographics
NPI:1710411392
Name:BRF COMMUNITY SERVICE INC
Entity Type:Organization
Organization Name:BRF COMMUNITY SERVICE INC
Other - Org Name:FIRSTLIGHT HOME CARE NAPERVILLE/PLAINFIELD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, CSA
Authorized Official - Phone:815-676-6969
Mailing Address - Street 1:13550 S ROUTE 30
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-5685
Mailing Address - Country:US
Mailing Address - Phone:815-676-6969
Mailing Address - Fax:
Practice Address - Street 1:13550 S ROUTE 30
Practice Address - Street 2:SUITE 208
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-5685
Practice Address - Country:US
Practice Address - Phone:815-676-6969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000905253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care