Individual provider Active NPI

Latoya Lashawn Granderson, OWNER

  • Home Health Registered Nurse
  • Naperville, IL
National Provider Identifier
1629951850
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
8500 Issued in IL
Practice address
1750 W Ogden Ave Unit 2531
Naperville, IL 60567-1222
Phone
(630) 200-6257
NPI assigned
Jul 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 8500 IL Primary

Addresses

Primary practice location

1750 W Ogden Ave Unit 2531
Naperville, IL 60567-1222

Mailing address

1750 W Ogden Ave Unit 2531
Naperville, IL 60567-1222
Phone (630) 200-6257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8500ILMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1629951850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 W OGDEN AVE UNIT 2531",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605671222",
            "telephone_number": "630-200-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 W OGDEN AVE UNIT 2531",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605671222",
            "telephone_number": "630-200-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDERSON",
        "first_name": "LATOYA",
        "middle_name": "LASHAWN",
        "credential": "OWNER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "8500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.