SACRED SPACE IN HOME HEALTH CARE LLC
NPI 1356203368
Nurse Practitioner - Adult Health in Chicago, IL

Q: What is Sacred Space In Home Health Care LLC's NPI number?

The NPI number for Sacred Space In Home Health Care LLC is 1356203368. It was assigned to this organization in the NPPES registry on November 27, 2025.

Q: What is Sacred Space In Home Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since November 27, 2025

10159 S VERNON AVE, CHICAGO, IL 60628(773) 791-0019 Get Directions Write a Review

NPPES record last updated: November 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sacred Space In Home Health Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACRED SPACE IN HOME HEALTH CARE LLC (NPI 1356203368) is a healthcare organization registered as an adult health in Chicago, Illinois and active in the NPI registry since November 2025. The organization lists Phyllis Eggleston, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1356203368

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameSACRED SPACE IN HOME HEALTH CARE LLC

Location Address10159 S VERNON AVEChicago, IL 60628-2235

Mailing Address10159 S Vernon AveChicago, IL 60628-2235

Phone(773) 791-0019

Organization SubpartNo

Authorized OfficialPhyllis EgglestonNurse Practitioner · (773) 791-0019

Enumeration DateNovember 27, 2025

NPPES CertifiedNovember 27, 2025

✔ NPI 1356203368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

10159 S VERNON AVE, Chicago, IL 60628

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sacred Space In Home Health Care LLC's NPI number?

The NPI number for Sacred Space In Home Health Care LLC is 1356203368. It was assigned to this organization in the NPPES registry on November 27, 2025.

Where is Sacred Space In Home Health Care LLC located?

Sacred Space In Home Health Care LLC is located at 10159 S Vernon Ave, Chicago, IL 60628. The listed phone number is (773) 791-0019.

What is Sacred Space In Home Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Sacred Space In Home Health Care LLC was last updated on November 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.