House of Health & Wellness LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

HOUSE OF HEALTH & WELLNESS LLC

Practice address

220 153Rd PL
Calumet City, IL 60409-4104

Phone

(312) 967-5707

Fax

(312) 967-9037

NPI assigned

Jan 17, 2023

Organization subpart

No

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

Authorized official

Name

Keisha Nicole House, DNP, APRN-FPA, FNP-BNPI 1619400074

Title

Nurse Practitioner

Phone

(773) 655-0899

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Keisha Nicole House

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1619400074
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1437864162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RING RD UNIT 2421",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604097266",
            "telephone_number": "312-967-5707",
            "fax_number": "312-967-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 153RD PL",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604094104",
            "telephone_number": "312-967-5707",
            "fax_number": "312-967-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "773-655-0899",
        "authorized_official_credential": "DNP, APRN-FPA, FNP-B"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@houseofhealthandwellness.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "220 153rd Pl",
            "city": "Calumet City",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604094104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.