Organization Active NPI

Aze Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Schererville, IN
National Provider Identifier
1265178446
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AZE HEALTHCARE LLC
Practice address
3111 Rosemary LN
Schererville, IN 46375-1947
Phone
(773) 544-6493
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Olukemi O Ajayi, NPNPI 1265187520
Title
NP Owner
Phone
(773) 544-6493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3111 Rosemary LN
Schererville, IN 46375-1947

Mailing address

3111 Rosemary LN
Schererville, IN 46375-1947
Phone (773) 544-6493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260206001590 IL Part B Supplier - Clinic/Group Practice 5395224653 Receives reassigned benefits from 1 practitioner
Practice locations: Olympia Fields, IL

National Provider Directory

National Provider Directory

Locations

20200 Governors Dr
Fl 1
Olympia Fields, IL 60461
Phone (773) 544-6493

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1265178446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 ROSEMARY LN",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751947",
            "telephone_number": "773-544-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 ROSEMARY LN",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751947",
            "telephone_number": "773-544-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "OLUKEMI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "NP OWNER",
        "authorized_official_telephone_number": "773-544-6493",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.