Organization Active NPI

Home Grown Pediatric Therapy, LLC

  • Early Intervention Provider Agency
  • Chicago, IL
National Provider Identifier
1780434456
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
HOME GROWN PEDIATRIC THERAPY, LLC
Practice address
808 N Cleveland Ave Apt 711
Chicago, IL 60610-3663
Phone
(815) 641-0435
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Ms. Kaetlin L Romberg, M.ED.NPI 1417461906
Title
Owner/ Therapist
Phone
(815) 641-0435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Early Intervention Provider Agency 252Y00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

808 N Cleveland Ave Apt 711
Chicago, IL 60610-3663

Mailing address

808 N Cleveland Ave Apt 711
Chicago, IL 60610-3663
Phone (815) 641-0435

Other practice location 1

450 W Briar Pl Apt 5F
Chicago, IL 60657-4779
Phone (815) 641-0435

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1780434456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N CLEVELAND AVE APT 711",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103663",
            "telephone_number": "815-641-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N CLEVELAND AVE APT 711",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103663",
            "telephone_number": "815-641-0435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 W Briar Pl Apt 5F",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574779",
            "country_code": "US",
            "telephone_number": "815-641-0435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOME GROWN PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "ROMBERG",
        "authorized_official_first_name": "KAETLIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "815-641-0435",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 7, 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.