SERENITY VILLAGE OF ILLINOIS
NPI 1609667195
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Calumet Park, IL

Active since May 14, 2025
12507 S JUSTINE ST, CALUMET PARK, IL 60827(708) 513-8853 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Serenity Village Of Illinois NPPES

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

SERENITY VILLAGE OF ILLINOIS (NPI 1609667195) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Calumet Park, Illinois and active in the NPI registry since May 2025. The organization lists Adetayo Adelekan, Chairman Of The Board Of Directors, as its authorized official.

NPPES Registry Identity

NPI1609667195
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSERENITY VILLAGE OF ILLINOIS
Location Address12507 S JUSTINE STCalumet Park, IL 60827-6017
Mailing Address10824 S Hale AveChicago, IL 60643-3342
Organization SubpartNo
Authorized OfficialAdetayo AdelekanChairman Of The Board Of Directors · (708) 513-8853
Enumeration DateMay 14, 2025
NPPES CertifiedMay 13, 2025
NPI 1609667195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
12507 S JUSTINE ST, Calumet Park, IL 60827

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 Serenity Village Of Illinois's NPI number?

The NPI number for Serenity Village Of Illinois is 1609667195. It was assigned to this organization in the NPPES registry on May 14, 2025.

Where is Serenity Village Of Illinois located?

Serenity Village Of Illinois is located at 12507 S Justine St, Calumet Park, IL 60827. The listed phone number is (708) 513-8853.

What is Serenity Village Of Illinois's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Serenity Village Of Illinois was last updated on May 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.