Healthcare Provider Details

I. General information

NPI: 1366922627
Provider Name (Legal Business Name): SAFARI CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 W PETERSON AVE STE 323
CHICAGO IL
60659-3315
US

IV. Provider business mailing address

3525 W PETERSON AVE STE 323
CHICAGO IL
60659-3315
US

V. Phone/Fax

Practice location:
  • Phone: 872-208-5048
  • Fax: 872-208-5088
Mailing address:
  • Phone: 872-208-5048
  • Fax: 872-208-5088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number3001406
License Number StateIL

VIII. Authorized Official

Name: MS. HAPPY H. MOSHA
Title or Position: PRESIDENT
Credential:
Phone: 773-856-6080