Individual provider Active NPI

Leila Keene

  • Homemaker
  • Chicago, IL
National Provider Identifier
1780286559
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
663 N Sangamon St Apt 1S
Chicago, IL 60642-6078
Phone
(312) 953-6161
Fax
(323) 316-2415
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X Primary

Addresses

Primary practice location

663 N Sangamon St Apt 1S
Chicago, IL 60642-6078

Mailing address

663 N Sangamon St Apt 1S
Chicago, IL 60642-6078
Phone (312) 953-6161

Other practice location 1

20560 Shelburne Rd
Shaker Heights, OH 44122-1941
Phone (312) 953-6161

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

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1780286559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 N SANGAMON ST APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606426078",
            "telephone_number": "312-953-6161",
            "fax_number": "323-316-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 N SANGAMON ST APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606426078",
            "telephone_number": "312-953-6161",
            "fax_number": "323-316-2415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20560 Shelburne Rd",
            "address_purpose": "LOCATION",
            "city": "Shaker Heights",
            "state": "OH",
            "postal_code": "441221941",
            "country_code": "US",
            "telephone_number": "312-953-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENE",
        "first_name": "LEILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.