Serenity Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY HOME HEALTH LLC

Practice address

6601 Cobblestone LN
Long Grove, IL 60047-5164

Phone

(630) 440-7292

NPI assigned

May 5, 2021

Organization subpart

No

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

Authorized official

Name

Noman KabaNPI 1790369841

Title

Manager

Phone

(630) 440-7292

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noman Kaba

  • Home Health Aide
  • Long Grove, IL
  • NPI 1790369841
  NPD Authorized official

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620432000000",
    "number": "1144804220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 COBBLESTONE LN",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475164",
            "telephone_number": "630-440-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 COBBLESTONE LN",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475164",
            "telephone_number": "630-440-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A",
        "authorized_official_last_name": "KABA",
        "authorized_official_first_name": "NOMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-440-7292"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kyle Eric Sieber, FNP-BC

• Home Health Agency in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.