Individual provider Active NPI

Shahzad Noor

  • Adult Companion
  • Morton Grove, IL
National Provider Identifier
1720605751
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Practice address
9514 Ozanam Ave
Morton Grove, IL 60053-1059
Phone
(414) 488-4575
Fax
(224) 251-8319
NPI assigned
Jun 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Adult Companion 372600000X Primary

Addresses

Primary practice location

9514 Ozanam Ave
Morton Grove, IL 60053-1059

Mailing address

9514 Ozanam Ave
Morton Grove, IL 60053-1059
Phone (414) 488-4575

Other practice location 1

8210B W Capitol Dr
Milwaukee, WI 53222-1922
Phone (414) 488-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shah-Ni-4 Inc. CurrentSince Oct 8, 2023 Accepting new patients
Shah-Ni-4 Inc. CurrentSince Jun 28, 2020 Accepting new patients

Locations

8210 W Capitol Dr
#B
Milwaukee, WI 53222
Phone (414) 488-4575

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1720605751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9514 OZANAM AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531059",
            "telephone_number": "414-488-4575",
            "fax_number": "224-251-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9514 OZANAM AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531059",
            "telephone_number": "414-488-4575",
            "fax_number": "224-251-8319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8210B W Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532221922",
            "country_code": "US",
            "telephone_number": "414-488-4575",
            "fax_number": "414-455-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOOR",
        "first_name": "SHAHZAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.