Active NPI
Zayan LLC
Doing business as ActiveCare Home Care
- Homemaker
- Park Ridge, IL
National Provider Identifier
1811394158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Legal business name
- ZAYAN LLC
- Doing business as
- ActiveCare Home Care
- Practice address
- 1420 Renaissance Dr Ste 211
Park Ridge, IL 60068-1342 - Phone
- (847) 380-7644
- Fax
- (844) 549-2273
- NPI assigned
- Dec 2, 2014
- 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
- Shafia A Khatoon, RDH
- Title
- President
- Phone
- (847) 380-7644
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 3001142 | IL | |
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
1420 Renaissance Dr Ste 211
Park Ridge, IL 60068-1342
Mailing address
1420 Renaissance Dr Ste 211
Park Ridge, IL 60068-1342
Phone (847) 380-7644
Other names 1
- ActiveCare Home Care
National Provider Directory
National Provider DirectoryLocations
1420 Renaissance Dr
Ste 211
Park Ridge, IL 60068
Phone (847) 380-7644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683072000000",
"number": "1811394158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 RENAISSANCE DR STE 211",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681342",
"telephone_number": "847-380-7644",
"fax_number": "844-549-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 RENAISSANCE DR STE 211",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681342",
"telephone_number": "847-380-7644",
"fax_number": "844-549-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZAYAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-02",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A",
"authorized_official_last_name": "KHATOON",
"authorized_official_first_name": "SHAFIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-380-7644",
"authorized_official_credential": "RDH"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "IL",
"license": "3001142",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ActiveCare Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ActiveCare Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.