Organization Active NPI

Sistas of Sacred Spaces LLC

  • Doula
  • Romeoville, IL
National Provider Identifier
1508705609
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
SISTAS OF SACRED SPACES LLC
Practice address
460 Lexington Dr
Romeoville, IL 60446-1780
Phone
(708) 580-8520
Fax
(708) 580-8520
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Leila Harris-Breen, HARRIS-BREENNPI 1275420119
Title
Owner
Phone
(708) 580-8520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

460 Lexington Dr
Romeoville, IL 60446-1780

Mailing address

460 Lexington Dr
Romeoville, IL 60446-1780
Phone (708) 580-8520

Other identifiers 1

IdentifierTypeStateIssuer
1301250907MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1508705609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 LEXINGTON DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461780",
            "telephone_number": "708-580-8520",
            "fax_number": "708-580-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 LEXINGTON DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461780",
            "telephone_number": "708-580-8520",
            "fax_number": "708-580-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTAS OF SACRED SPACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "HARRIS-BREEN",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-580-8520",
        "authorized_official_credential": "HARRIS-BREEN"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301250907",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.