Provider Demographics
NPI:1912973512
Name:HOME STAFF, INC.
Entity Type:Organization
Organization Name:HOME STAFF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHEY
Authorized Official - Middle Name:
Authorized Official - Last Name:VERBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-616-7732
Mailing Address - Street 1:5517 N CUMBERLAND AVE
Mailing Address - Street 2:SUITE 915
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-4738
Mailing Address - Country:US
Mailing Address - Phone:773-467-6000
Mailing Address - Fax:773-467-6001
Practice Address - Street 1:5517 N CUMBERLAND AVE
Practice Address - Street 2:SUITE 915
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656-4738
Practice Address - Country:US
Practice Address - Phone:773-467-6000
Practice Address - Fax:773-467-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-24
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001620017OtherBCBSIL PRIVATE DUTY #