Serenity'S Corner

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

SERENITY'S CORNER

Practice address

229 Crossing Dr
Normal, IL 61761-4782

Phone

(130) 982-6080

NPI assigned

Aug 24, 2023

Organization subpart

No

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

Authorized official

Name

Chanel Lockman, LPN

Title

Owner

Phone

(309) 826-0802

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1639953045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 ROBBINS RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046587",
            "telephone_number": "130-982-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 CROSSING DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617614782",
            "telephone_number": "130-982-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY'S CORNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "LOCKMAN",
        "authorized_official_first_name": "CHANEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-826-0802",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Normal, IL
• Providers in Normal, IL by specialty
• Personal Care Attendant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.