Active NPI
Aze Healthcare LLC
- Psychiatric/Mental Health Nurse Practitioner
- Schererville, IN
National Provider Identifier
1265178446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olukemi O Ajayi, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
- NPI 1265187520
IL, Psychiatric/Mental Health
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.