Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FAMILY CHOICE HOME HEALTH
Active
Organization
FAMILY CHOICE HOME HEALTH
Active
Other names
Family Choice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINO COSTALES JR. (AGENCY MANAGER)
(773) 774-6630
Entity
Organization
Contact information
Practice address
5933 N MILWAUKEE AVENUE, CHICAGO, IL 60646
(773) 774-6630
(773) 774-1470
Mailing address
5933 N MILWAUKEE AVE, CHICAGO, IL 60646-5419
(773) 774-6630
(773) 774-1470
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D1076797
CLIA ID NUMBER
IL
Enumeration date
03/13/2013
Last updated
11/22/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up