Provider Demographics
NPI:1770018814
Name:YOUR HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:YOUR HOME CARE SERVICES, LLC
Other - Org Name:CENTRAL ILLINOIS CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-407-4477
Mailing Address - Street 1:1901 S 4TH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-4188
Mailing Address - Country:US
Mailing Address - Phone:217-994-9016
Mailing Address - Fax:217-994-9506
Practice Address - Street 1:1901 S 4TH ST STE 4
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-4188
Practice Address - Country:US
Practice Address - Phone:217-994-9016
Practice Address - Fax:217-994-9506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001466253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care