Organization Active NPI

Jelani Helathcare and Family Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Park Forest, IL
National Provider Identifier
1194644237
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
JELANI HELATHCARE AND FAMILY SERVICES
Practice address
221 Illinois St
Park Forest, IL 60466-1117
Phone
(630) 864-0704
NPI assigned
Jul 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Damo Antwine-Jelani, ED.S
Title
Chief Executive Officer
Phone
(630) 864-0704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

221 Illinois St
Park Forest, IL 60466-1117

Mailing address

221 Illinois St
Park Forest, IL 60466-1117
Phone (630) 864-0704

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1194644237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 ILLINOIS ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661117",
            "telephone_number": "630-864-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 ILLINOIS ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661117",
            "telephone_number": "630-864-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELANI HELATHCARE AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "ANTWINE-JELANI",
        "authorized_official_first_name": "DAMO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "630-864-0704",
        "authorized_official_credential": "ED.S"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.