Organization Active NPI

Shah-Ni-4 Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1669280061
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 19, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.