Provider Demographics
NPI:1740911387
Name:HOME LIVING FAMILY SERVICES LLC
Entity type:Organization
Organization Name:HOME LIVING FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-541-4747
Mailing Address - Street 1:3008 BIG BEND DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-6169
Mailing Address - Country:US
Mailing Address - Phone:804-506-3845
Mailing Address - Fax:757-966-2043
Practice Address - Street 1:700 S SYCAMORE ST STE 2B
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-5803
Practice Address - Country:US
Practice Address - Phone:804-506-3845
Practice Address - Fax:757-966-2043
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H.O.M.E. LIVING INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care