Active NPI
Mojisola A Kayode
- Home Health Aide
- Evanston, IL
National Provider Identifier
1225761117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 4000738
- Practice address
- 1325 Howard St Ste 301
Evanston, IL 60202-3788 - Phone
- (847) 868-8464
- Fax
- (847) 905-0396
- NPI assigned
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 4000738 | IL | Primary |
Addresses
Primary practice location
1325 Howard St Ste 301
Evanston, IL 60202-3788
Mailing address
1325 Howard St Ste 301
Evanston, IL 60202-3788
Phone (847) 868-8464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812166362201 | Medicaid | IL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4000738 | IL | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Precious Center LLC | Current | Accepting new patients |
Locations
1325 Howard St
Ste 301
Evanston, IL 60202
Phone (773) 495-6952
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Evanston, IL
- NPI 1346131778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1225761117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 HOWARD ST STE 301",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023788",
"telephone_number": "847-868-8464",
"fax_number": "847-905-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 HOWARD ST STE 301",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023788",
"telephone_number": "847-868-8464",
"fax_number": "847-905-0396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYODE",
"first_name": "MOJISOLA",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "IL",
"license": "4000738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "812166362201",
"state": "IL"
}
],
"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 Feb 5, 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.