Organization Active NPI

Shalev, Inc

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1104103753
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3000743 Issued in IL
Legal business name
SHALEV, INC
Practice address
1 E Superior St
Suite 605
Chicago, IL 60611-2507
Phone
(312) 470-6070
NPI assigned
Nov 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Mr. Itay Shalev
Title
President
Phone
(312) 470-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3000743 IL Primary

Addresses

Primary practice location

1 E Superior St
Suite 605
Chicago, IL 60611-2507

Mailing address

1 E Superior St
Suite 605
Chicago, IL 60611-2507
Phone (312) 470-6070

Other identifiers 1

IdentifierTypeStateIssuer
3000743OtherILHOME SERVICE AGENCY, ILLINOIS DEPARTMENT OF PUBLIC HEALTH

Other names 1

  • Comfort Keepers 858 Doing business as

National Provider Directory

National Provider Directory

Locations

1 E Superior St
Ste 605
Chicago, IL 60611
Phone (312) 470-6070

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1104103753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E SUPERIOR ST",
            "address_2": "SUITE 605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112507",
            "telephone_number": "312-470-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E SUPERIOR ST",
            "address_2": "SUITE 605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112507",
            "telephone_number": "312-470-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALEV, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "SHALEV",
        "authorized_official_first_name": "ITAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-470-6070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME SERVICE AGENCY, ILLINOIS DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "3000743",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers 858",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 10, 2011; 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.