Avita Home Care, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AVITA HOME CARE, INC

Practice address

825 E Rand Rd Ste 250
Arlington Heights, IL 60004-4076

Phone

(773) 840-5260

Fax

(773) 840-5209

NPI assigned

Dec 9, 2019

Last updated

Jan 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kateryna Radetska Gulley

Title

Manager

Phone

(773) 840-5260

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1316584436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E RAND RD STE 250",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044076",
            "telephone_number": "773-840-5260",
            "fax_number": "773-840-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E RAND RD STE 250",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044076",
            "telephone_number": "773-840-5260",
            "fax_number": "773-840-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVITA HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "RADETSKA GULLEY",
        "authorized_official_first_name": "KATERYNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-840-5260"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "avitahomecare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "poc",
            "address_1": "1043 S York Rd Ste 106A",
            "city": "Bensenville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601063489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.