Provider Demographics
NPI:1720332059
Name:HUFF-O'BRYAN CAREGIVING SERVICES, INC.
Entity Type:Organization
Organization Name:HUFF-O'BRYAN CAREGIVING SERVICES, INC.
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUFF-O'BRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B, CSA
Authorized Official - Phone:815-685-4357
Mailing Address - Street 1:13400 S ROUTE 59
Mailing Address - Street 2:SUITE 116-#178
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-5826
Mailing Address - Country:US
Mailing Address - Phone:815-685-4357
Mailing Address - Fax:
Practice Address - Street 1:13400 S ROUTE 59
Practice Address - Street 2:SUITE 116-#178
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-5826
Practice Address - Country:US
Practice Address - Phone:815-685-4357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000422253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care