Home Sweet Home Supportive Living LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

LC0914417 Issued in MO

Legal business name

HOME SWEET HOME SUPPORTIVE LIVING LLC

Practice address

100 Northwest Point Blvd.
Elk Grove Village, IL 60007

Phone

(314) 458-8272

NPI assigned

Aug 20, 2008

Organization subpart

No

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

Authorized official

Name

Ms. T Valiant, REGISTERED NURSE-BSN

Title

RN/Owner

Phone

(314) 458-8272

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1255588265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38085",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63138",
            "telephone_number": "314-458-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTHWEST POINT BLVD.",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "314-458-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET HOME SUPPORTIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "VALIANT",
        "authorized_official_first_name": "T",
        "authorized_official_title_or_position": "RN/OWNER",
        "authorized_official_telephone_number": "314-458-8272",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE-BSN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "LC0914417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Holcombe
• Shannon Holland, PA-C
• Aaron Homan, B.A.
• Joshua David Homan, BSN
• Brian Homann, D.D.S.
• Homer Glen Medical Services Corp
• Meishan Hong
• Santa M. Houdek, LCPC
• Russel Houser
• Anayeli Huerta

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.