Organization Active NPI

Kay'S Angel Care, Inc

  • Home Health Agency
  • Evanston, IL
National Provider Identifier
1508565300
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KAY'S ANGEL CARE, INC
Practice address
1325 Howard St Ste 301
Evanston, IL 60202-3788
Phone
(847) 868-8464
Fax
(847) 905-0396
NPI assigned
Mar 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Mojisola Kayode A Kayode
Title
Director
Phone
(847) 868-8464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 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

IdentifierTypeStateIssuer
201MedicaidIL

Other names 1

  • Kay's Angel Care, Inc Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2336325Kay'S Angel Care Inc1325 Howard St, Evanston, IL 60202Certificate of waiverDec 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Kaysangelcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1508565300",
    "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": {
        "organization_name": "KAY'S ANGEL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2024-02-05",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "KAYODE",
        "authorized_official_first_name": "MOJISOLA KAYODE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-868-8464"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kay's Angel Care, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kay's Angel Care, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.