Organization Active NPI

Hayath Senior Care, LLC

  • In Home Supportive Care Agency
  • Gurnee, IL
National Provider Identifier
1558066894
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HAYATH SENIOR CARE, LLC
Practice address
4606 Old Grand Ave Ste A6
Gurnee, IL 60031-2607
Phone
(773) 941-1744
Fax
(224) 214-3774
NPI assigned
Apr 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Sofia Fatima Khan
Title
President
Phone
(773) 941-1744

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

4606 Old Grand Ave Ste A6
Gurnee, IL 60031-2607

Mailing address

4056 Kenwood Ave
Gurnee, IL 60031-2864
Phone (773) 941-1744

National Provider Directory

National Provider Directory

Locations

4606 Old Grand Ave
Ste A6
Gurnee, IL 60031
Phone (773) 941-1744

1663 Northwind Blvd
Libertyville, IL 60048

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1558066894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 KENWOOD AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312864",
            "telephone_number": "773-941-1744",
            "fax_number": "224-214-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 OLD GRAND AVE STE A6",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312607",
            "telephone_number": "773-941-1744",
            "fax_number": "224-214-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYATH SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_middle_name": "FATIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-941-1744"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.