Organization Active NPI

Jes-Royal Homecare

  • Home Health Aide
  • Chicago, IL
National Provider Identifier
1013447085
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
JES-ROYAL HOMECARE
Practice address
4747 S Princeton Ave FL 1
Chicago, IL 60609-4544
Phone
(773) 501-5690
NPI assigned
Jun 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abiodun Ajayi
Title
Ceo
Phone
(773) 470-7944

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

4747 S Princeton Ave FL 1
Chicago, IL 60609-4544

Mailing address

4747 S Princeton Ave FL 1
Chicago, IL 60609-4544
Phone (773) 501-5690

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013447085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 S PRINCETON AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094544",
            "telephone_number": "773-501-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 S PRINCETON AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094544",
            "telephone_number": "773-501-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JES-ROYAL HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "ABIODUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-470-7944"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.