SERENITY HAVEN ADULT DAY CARE INC
NPI 1912149626
Licensed Practical Nurse in Dolton, IL

Q: What is Serenity Haven Adult Day Care Inc's NPI number?

The NPI number for Serenity Haven Adult Day Care Inc is 1912149626. It was assigned to this organization in the NPPES registry on March 26, 2009.

Q: What is Serenity Haven Adult Day Care Inc's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since March 26, 2009

1109 E 156TH ST, DOLTON, IL 60419(708) 476-3795(773) 821-0720 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Serenity Haven Adult Day Care Inc NPPES

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

SERENITY HAVEN ADULT DAY CARE INC (NPI 1912149626) is a healthcare organization registered as a licensed practical nurse in Dolton, Illinois and active in the NPI registry since March 2009. The organization lists Nikkita C Johnson- Neealy, Owner/nurse, as its authorized official.

NPPES Registry Identity

NPI1912149626

Entity TypeOrganization

Primary Taxonomy164W00000X

Legal Business NameSERENITY HAVEN ADULT DAY CARE INC

Location Address1109 E 156TH STDolton, IL 60419-2777

Mailing Address1458 W 123rd StChicago, IL 60643-5768 · (773) 454-8514 · Fax (773) 821-0720

Phone(708) 476-3795

Fax(773) 821-0720

Organization SubpartNo

Authorized OfficialNikkita C Johnson- NeealyOwner/nurse · (708) 476-3795

Enumeration DateMarch 26, 2009

Last NPPES UpdateMay 1, 2009

✔ NPI 1912149626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IL · 043.087417

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1109 E 156TH ST, Dolton, IL 60419

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKKITA CHENNILLE JOHNSON-NEEALY LPN

Licensed Practical Nurse

1109 E 156TH ST
DOLTON, IL 60419

Cook County (773) 454-8514

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 Haven Adult Day Care Inc's NPI number?

The NPI number for Serenity Haven Adult Day Care Inc is 1912149626. It was assigned to this organization in the NPPES registry on March 26, 2009.

Where is Serenity Haven Adult Day Care Inc located?

Serenity Haven Adult Day Care Inc is located at 1109 E 156th St, Dolton, IL 60419. The listed phone number is (708) 476-3795.

What is Serenity Haven Adult Day Care Inc's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Serenity Haven Adult Day Care Inc was last updated on May 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.