Provider Demographics
NPI:1184416380
Name:DRINKWATER FAMILY SERVICES
Entity type:Organization
Organization Name:DRINKWATER FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CASEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-358-5717
Mailing Address - Street 1:616 N BRIDGEPORT TER STE F
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60046-4909
Mailing Address - Country:US
Mailing Address - Phone:224-643-7469
Mailing Address - Fax:
Practice Address - Street 1:616 N BRIDGEPORT TER STE F
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:IL
Practice Address - Zip Code:60046-4909
Practice Address - Country:US
Practice Address - Phone:224-643-7469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No385H00000XRespite Care FacilityRespite Care