Provider Demographics
NPI:1053611038
Name:HOME SERVICES, LLC
Entity type:Organization
Organization Name:HOME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:F
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-330-6882
Mailing Address - Street 1:PO BOX 88393
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-8393
Mailing Address - Country:US
Mailing Address - Phone:719-535-0476
Mailing Address - Fax:719-494-0349
Practice Address - Street 1:5180 N UNION BLVD
Practice Address - Street 2:SUITE #204
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-2000
Practice Address - Country:US
Practice Address - Phone:719-535-0476
Practice Address - Fax:719-494-0349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04J382251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care