Provider Demographics
NPI:1811394158
Name:ZAYAN LLC
Entity type:Organization
Organization Name:ZAYAN LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAFIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHATOON
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:847-380-7644
Mailing Address - Street 1:1420 RENAISSANCE DR STE 211
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1342
Mailing Address - Country:US
Mailing Address - Phone:847-380-7644
Mailing Address - Fax:844-549-2273
Practice Address - Street 1:1420 RENAISSANCE DR STE 211
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1342
Practice Address - Country:US
Practice Address - Phone:847-380-7644
Practice Address - Fax:844-549-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001142253Z00000X
376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care