Provider Demographics
NPI:1366922627
Name:SAFARI CARE, INC
Entity type:Organization
Organization Name:SAFARI CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HAPPY
Authorized Official - Middle Name:H
Authorized Official - Last Name:MOSHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-856-6080
Mailing Address - Street 1:3525 W PETERSON AVE STE 323
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3315
Mailing Address - Country:US
Mailing Address - Phone:872-208-5048
Mailing Address - Fax:872-208-5088
Practice Address - Street 1:2335 W DEVON AVE STE 210
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-5501
Practice Address - Country:US
Practice Address - Phone:773-856-6080
Practice Address - Fax:773-856-6081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WH0200X, 376J00000X
IL3001406253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty