Provider Demographics
NPI:1053984831
Name:KAYSANGELCARE
Entity type:Organization
Organization Name:KAYSANGELCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOJISOLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KAYODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-495-6952
Mailing Address - Street 1:1325 HOWARD ST STE 301
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3788
Mailing Address - Country:US
Mailing Address - Phone:773-495-6952
Mailing Address - Fax:847-905-0396
Practice Address - Street 1:1325 HOWARD ST STE 301
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3788
Practice Address - Country:US
Practice Address - Phone:773-495-6952
Practice Address - Fax:847-905-0396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty