Active NPI
Serenity Haven Care NFP
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Harvey, IL
National Provider Identifier
1730009911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- SERENITY HAVEN CARE NFP
- Practice address
- 160 E 145TH St
Harvey, IL 60426-1219 - Phone
- (773) 993-6657
- Fax
- (773) 903-4774
- NPI assigned
- Jul 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikkita Johnson Neealy
- Title
- Executive Director
- Phone
- (773) 993-6657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
160 E 145TH St
Harvey, IL 60426-1219
Mailing address
1458 W 123Rd St
Chicago, IL 60643-5768
Phone (773) 454-8514
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784246400000",
"number": "1730009911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1458 W 123RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606435768",
"telephone_number": "773-454-8514",
"fax_number": "773-903-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E 145TH ST",
"city": "HARVEY",
"state": "IL",
"postal_code": "604261219",
"telephone_number": "773-993-6657",
"fax_number": "773-903-4774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY HAVEN CARE NFP",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-17",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A",
"authorized_official_last_name": "JOHNSON NEEALY",
"authorized_official_first_name": "NIKKITA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "773-993-6657"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harvey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.