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Organization
SHAH-NI-4 INC.
Active
Organization
SHAH-NI-4 INC.
Active
Other names
Prime Careline Home Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
RAQIB SHAHZAD (MANAGING DIRECTOR)
(224) 251-8432
Entity
Organization
Contact information
Practice address
890 E ROOSEVELT RD, LOMBARD, IL 60148-4745
(630) 376-4999
(630) 376-1025
Mailing address
8605 N SHERMER RD, NILES, IL 60714-2140
(224) 251-8432
(224) 251-8319
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2309759
—
IL
Enumeration date
02/14/2025
Last updated
07/28/2026
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