Organization Active NPI

Serenity Haven Care NFP

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Harvey, IL
National Provider Identifier
1730009911
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Jul 17, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.