Active NPI
Hakeem Gayden
- Prosthetic/Orthotic Supplier
- Homewood, IL
National Provider Identifier
1184464174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- 1800 Ridge Rd Ste 204
Homewood, IL 60430-1723 - Phone
- (708) 916-5093
- NPI assigned
- May 28, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | IL | ||
| Prosthetic/Orthotic Supplier | 335E00000X | IL | Primary |
Addresses
Primary practice location
1800 Ridge Rd Ste 204
Homewood, IL 60430-1723
Mailing address
1800 Ridge Rd Ste 204
Homewood, IL 60430-1723
Phone (708) 916-5093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lavea Lace Custom Wigs and Hairpieces LLC | Orthotic Fitter | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Calumet City, IL
- NPI 1225960453
Orthotic Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1184464174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 RIDGE RD STE 204",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604301723",
"telephone_number": "708-916-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 RIDGE RD STE 204",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604301723",
"telephone_number": "708-916-5093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYDEN",
"first_name": "HAKEEM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.