Provider Demographics
NPI:1649813643
Name:FAMILY CARE SERVICES, INC
Entity type:Organization
Organization Name:FAMILY CARE SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MANOLO
Authorized Official - Middle Name:
Authorized Official - Last Name:GAWAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-206-2200
Mailing Address - Street 1:17680 SOUTH KEDZIE AVE
Mailing Address - Street 2:SUITE 106B
Mailing Address - City:HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429-2043
Mailing Address - Country:US
Mailing Address - Phone:708-206-2200
Mailing Address - Fax:708-991-7247
Practice Address - Street 1:5320 159TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-3329
Practice Address - Country:US
Practice Address - Phone:708-206-2200
Practice Address - Fax:708-991-7247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty