Active NPI
Shah-Ni-4 Inc.
- Home Health Agency
- Chicago, IL
National Provider Identifier
1669280061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SHAH-NI-4 INC.
- Doing business as
- PRIME CARELINE HOME CARE AGENCY
- Practice address
- 4354 N Central Ave Ste D
Chicago, IL 60634-5600 - Phone
- (224) 251-8432
- Fax
- (224) 251-8319
- NPI assigned
- Dec 19, 2024
- 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
- Raqib Shahzad
- Title
- Managing Director
- Phone
- (224) 251-8432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4354 N Central Ave Ste D
Chicago, IL 60634-5600
Mailing address
125 Fairfield Way Ste 104
Bloomingdale, IL 60108-1556
Phone (224) 251-8432
Other names 1
- PRIME CARELINE HOME CARE AGENCY
National Provider Directory
National Provider DirectoryLocations
4354 N Central Ave
Ste D
Chicago, IL 60634
Phone (224) 251-8432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734566400000",
"number": "1669280061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 FAIRFIELD WAY STE 104",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081556",
"telephone_number": "224-251-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4354 N CENTRAL AVE STE D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606345600",
"telephone_number": "224-251-8432",
"fax_number": "224-251-8319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAH-NI-4 INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-19",
"certification_date": "2024-12-18",
"status": "A",
"authorized_official_last_name": "SHAHZAD",
"authorized_official_first_name": "RAQIB",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "224-251-8432"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PRIME CARELINE HOME CARE AGENCY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.