Provider Demographics
NPI:1952747065
Name:LONG FAMILY SERVICES, INC
Entity Type:Organization
Organization Name:LONG FAMILY SERVICES, INC
Other - Org Name:COMFORCARE HOME SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-881-2888
Mailing Address - Street 1:540 W FRONTAGE RD
Mailing Address - Street 2:#3225
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-1250
Mailing Address - Country:US
Mailing Address - Phone:847-881-2888
Mailing Address - Fax:847-881-2799
Practice Address - Street 1:540 W FRONTAGE RD
Practice Address - Street 2:3225
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-1250
Practice Address - Country:US
Practice Address - Phone:847-881-2888
Practice Address - Fax:847-881-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILHF102811253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care