Active NPI
Hayath Senior Care, LLC
- In Home Supportive Care Agency
- Gurnee, IL
National Provider Identifier
1558066894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.