Provider Demographics
NPI:1912277690
Name:HOME SERVICES DIRECT, LLC
Entity Type:Organization
Organization Name:HOME SERVICES DIRECT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTMORELAND
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:847-749-0165
Mailing Address - Street 1:811 ROHLWING RD
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-1035
Mailing Address - Country:US
Mailing Address - Phone:847-749-0165
Mailing Address - Fax:847-749-0169
Practice Address - Street 1:811 ROHLWING RD
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-1035
Practice Address - Country:US
Practice Address - Phone:847-749-0165
Practice Address - Fax:847-749-0169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILTGC028518171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty