Organization Active NPI

Evercare Home Health LLC

  • Nursing Care Agency
  • Oak Forest, IL
National Provider Identifier
1689358582
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
EVERCARE HOME HEALTH LLC
Practice address
14810 Cicero Ave Ste 2C
Oak Forest, IL 60452-1460
Phone
(708) 925-0433
NPI assigned
Jun 12, 2023
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Kazeem Olakunle Ajeigbe
Title
Administrator
Phone
(708) 925-0433

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

14810 Cicero Ave Ste 2C
Oak Forest, IL 60452-1460

Mailing address

14810 Cicero Ave Ste 2C
Oak Forest, IL 60452-1460
Phone (708) 925-0433

National Provider Directory

National Provider Directory

Locations

14810 Cicero Ave
Ste 2C
Oak Forest, IL 60452
Phone (708) 925-0433

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1689358582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14810 CICERO AVE STE 2C",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521460",
            "telephone_number": "708-925-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14810 CICERO AVE STE 2C",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521460",
            "telephone_number": "708-925-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "AJEIGBE",
        "authorized_official_first_name": "KAZEEM",
        "authorized_official_middle_name": "OLAKUNLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-925-0433"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

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