Organization Active NPI

Serenity Home Healthcare LLC - Series a

  • Home Health Agency
  • Niles, IL
National Provider Identifier
1821035635
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011700 Issued in IL
Legal business name
SERENITY HOME HEALTHCARE LLC - SERIES A
Practice address
6640 W Touhy Ave
Niles, IL 60714-4516
Phone
(773) 588-4000
Fax
(773) 588-4005
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Mr. Ayowale Alao, BSN
Title
Administrator
Phone
(773) 588-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011700 IL Primary

Addresses

Primary practice location

6640 W Touhy Ave
Niles, IL 60714-4516

Mailing address

6640 W Touhy Ave
Niles, IL 60714-4516
Phone (773) 588-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050928001461 IL Part A Provider - Home Health Agency 6507891561 Practice locations: Niles, IL

Home health agency certification: CCN 147860

Legal name
SERENITY HOME HEALTHCARE, LLC, SERIES A
Doing business as
SERENITY HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 27, 2006
Last certification
Oct 5, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
6640 W Touhy Ave
Niles, IL 60714-4516

Care Compare: Home health agency

Medicare Care Compare
Listed as
Serenity Home HealthcareCCN 147860
Ownership
Proprietary
Certified
Mar 27, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

6677 N Lincoln Ave
Ste 320
Lincolnwood, IL 60712
Phone (773) 588-4000

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jesus Rodriguez Individual Corporate Director Sep 28, 2005
Ayowale B Alao Individual 5% Or Greater Direct Ownership Interest Jun 1, 2016 62.5%
Corporate OfficerPesident Oct 1, 2012 50%
W-2 Managing EmployeeAdministrator Oct 1, 2012 50%
Omolara Alao Individual 5% Or Greater Direct Ownership Interest Jun 1, 2016 37.5%
Corporate OfficerSecretary/Treasurer Oct 1, 2012 25%
W-2 Managing EmployeeAgency Supervisor Oct 1, 2012
Reynaldo Vicencio Individual Corporate Director Sep 28, 2005
W-2 Managing Employee May 20, 2005

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1821035635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 W TOUHY AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144516",
            "telephone_number": "773-588-4000",
            "fax_number": "773-588-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 W TOUHY AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144516",
            "telephone_number": "773-588-4000",
            "fax_number": "773-588-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME HEALTHCARE LLC - SERIES A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "ALAO",
        "authorized_official_first_name": "AYOWALE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-588-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.