Active NPI
Serenity Home Healthcare LLC - Series a
- Home Health Agency
- Niles, IL
National Provider Identifier
1821035635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011700
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 6640 W Touhy Ave
Niles, IL 60714-4516
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Serenity Home Healthcare
- Ownership
- Proprietary
- Certified
- Mar 27, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jesus Rodriguez | Corporate Director | Sep 28, 2005 | |
| Ayowale B Alao | 5% Or Greater Direct Ownership Interest | Jun 1, 2016 | 62.5% |
| Corporate Officer | Oct 1, 2012 | 50% | |
| W-2 Managing Employee | Oct 1, 2012 | 50% | |
| Omolara Alao | 5% Or Greater Direct Ownership Interest | Jun 1, 2016 | 37.5% |
| Corporate Officer | Oct 1, 2012 | 25% | |
| W-2 Managing Employee | Oct 1, 2012 | ||
| Reynaldo Vicencio | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.