Sacred Space in Home Health Care LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

SACRED SPACE IN HOME HEALTH CARE LLC

Practice address

10159 S Vernon Ave
Chicago, IL 60628-2235

Phone

(773) 791-0019

NPI assigned

Nov 27, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Phyllis Eggleston, DNPNPI 1043834435

Title

Nurse Practitioner

Phone

(773) 791-0019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Phyllis Eggleston

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1043834435
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1764201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764201600000",
    "number": "1356203368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10159 S VERNON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10159 S VERNON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282235",
            "telephone_number": "773-791-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPACE IN HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-27",
        "last_updated": "2025-11-27",
        "certification_date": "2025-11-27",
        "status": "A",
        "authorized_official_last_name": "EGGLESTON",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "773-791-0019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sacred Heart Home
• Sacred Heart Hospital
• Sacred Heart Hospital
• Sacred Heart Phlebotomy LLC
• Sacred Minds PLLC
• Sacred Stories Counseling
• Aliyah Sadaf
• Salma Sadaf, MD
• Shokufeh Sadaghiani, MD
• Nishanth Sadagopan

• Adult Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.