Organization Active NPI

Serenity Homecare Services of Illinois

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1194994707
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY HOMECARE SERVICES OF ILLINOIS
Practice address
2906 E 79TH St
Chicago, IL 60649-5216
Phone
(773) 375-2816
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Ms. Janice Jones
Title
Director
Phone
(773) 443-0089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2906 E 79TH St
Chicago, IL 60649-5216

Mailing address

PO Box 490149
Chicago, IL 60649-0149
Phone (773) 375-2816

National Provider Directory

National Provider Directory

Locations

2906 E 79th St
Chicago, IL 60649
Phone (773) 375-2816

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1194994707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490149",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606490149",
            "telephone_number": "773-375-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 E 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606495216",
            "telephone_number": "773-375-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOMECARE SERVICES OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-443-0089",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.