Itara42 Home Care Agency

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

ITARA42 HOME CARE AGENCY

Practice address

12051 S Yale Ave
Chicago, IL 60628-6536

Phone

(773) 840-3729

NPI assigned

Apr 21, 2025

Organization subpart

No

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

Authorized official

Name

Don Davis

Title

Manager

Phone

(773) 999-5051

Specialties & licenses 5

Addresses

Tax ID family

Itara42 Home Care Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Itara42 Home Care Agency

  • In Home Supportive Care Agency
  • Chicago Heights, IL
  • NPI 1295697209
  NPD tax ID

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1275320723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E 16TH ST",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113410",
            "telephone_number": "773-999-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12051 S YALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606286536",
            "telephone_number": "773-840-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITARA42 HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-999-5051"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Isyanov, M.D.
• Itac Medical Supply Company, LLC
• Italo D. Pieri, SC
• Oussama Itani, MD
• Taylor Itani
• Itasca Dialysis LLC (Brighton Park Dialysis)
• Itc Illinois LLC
• Lawrence H. Iteld, MD
• Sina Ith, PHARMD
• Marya Itkina, LMT

• Lodging Provider in Chicago, IL
• Providers in Chicago, IL by specialty
• Lodging Provider in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.