Lisamel LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LISAMEL LLC

Doing business as

Home 2 Heart Adult Daycare

Practice address

19950 Torrence Ave
Lynwood, IL 60411-7614

Phone

(708) 243-1169

NPI assigned

Sep 13, 2024

Organization subpart

No

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

Authorized official

Name

Lisa Jeter

Title

Owner

Phone

(708) 243-1169

Specialties & licenses 2

Addresses

Other names 1

• Home 2 Heart Adult Daycare Doing business as

Locations

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1245066380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19950 TORRENCE AVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604117614",
            "telephone_number": "708-243-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19950 TORRENCE AVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604117614",
            "telephone_number": "708-243-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISAMEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-243-1169"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home 2 Heart Adult Daycare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JSL Consultants & Associates Inc
• Sanoka P Keys
• L.K.C. Health and Wellness
• Diamond Leigh
• Tamika Nicole Lewis
• Jade Reniece Mackey
• Lynette Mahone
• June J McCain
• Jovon Malik McDonald
• Ronda McGruder Miller

• Adult Day Care Clinic/Center in Lynwood, IL
• Providers in Lynwood, IL by specialty
• Adult Day Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.