Provider Demographics
NPI:1356007694
Name:HAYAT COMPASSIONATE CARE SERVICES INC.
Entity Type:Organization
Organization Name:HAYAT COMPASSIONATE CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IDAYAT
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADEKUNLE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:773-370-1539
Mailing Address - Street 1:10909 COOK AVE
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-6332
Mailing Address - Country:US
Mailing Address - Phone:773-370-1539
Mailing Address - Fax:
Practice Address - Street 1:10909 COOK AVE
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-6332
Practice Address - Country:US
Practice Address - Phone:773-370-1539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty