NPIMap

Organization Active NPI

Kaysangelcare

  • Health Service Clinic/Center
  • Evanston, IL
National Provider Identifier
1083267587
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
KAYSANGELCARE
Practice address
1325 Howard St
Evanston, IL 60202-3766
Phone
(773) 495-6952
Fax
(847) 868-8464
NPI assigned
Jul 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Mojisola A Kayode, CNA
Title
Owner
Phone
(773) 495-6952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1325 Howard St
Evanston, IL 60202-3766

Mailing address

2054 W Chase Ave
Chicago, IL 60645-2608
Phone (773) 495-6952

National Provider Directory

National Provider Directory
Tax ID family
Kaysangelcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1325 Howard St
Ste 301
Evanston, IL 60202
Phone (773) 495-6952

1325 Howard St
Evanston, IL 60202
Phone (773) 495-6952

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1083267587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 W CHASE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452608",
            "telephone_number": "773-495-6952",
            "fax_number": "847-868-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 HOWARD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023766",
            "telephone_number": "773-495-6952",
            "fax_number": "847-868-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYSANGELCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "KAYODE",
        "authorized_official_first_name": "MOJISOLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-495-6952",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.