Sarah Angels Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SARAH ANGELS HOMECARE LLC

Practice address

619 Gundersen Dr
Carol Stream, IL 60188-3107

Phone

(630) 862-6587

NPI assigned

Aug 20, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kiesha Green

Title

Owner

Phone

(630) 862-6587

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1104592062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 GUNDERSEN DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601883107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 GUNDERSEN DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601883107",
            "telephone_number": "630-862-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH ANGELS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KIESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-862-6587"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata Rygula Koziol
• Lauren Ashley Rys, PHARMD
• Diana L Sanchez, RBT-18-59177
• Reina Sanchez
• Kelly Santoyo, PSYD
• Rishikesh Savaliya
• Claudia Schauer
• Julie Marie Schneider, RN, MS, APN/CNP
• Dawn Elizabeth Scholl, LCSW, CADC
• Lawrence J Schouten, MD

• In Home Supportive Care Agency in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.