Organization Active NPI

Zayan LLC

Doing business as ActiveCare Home Care

  • Homemaker
  • Park Ridge, IL
National Provider Identifier
1811394158
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
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

Updated by the provider on May 3, 2023

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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3001142 IL
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.