OrganizationActive
Serenity Haven Adult Day Care Inc
NPI 1912149626 · Licensed Practical Nurse · Dolton, IL
Serenity Haven Adult Day Care Inc is a Licensed Practical Nurse organization in Dolton, IL (NPI 1912149626).
Provider details
- NPI number
- 1912149626
- Entity type
- Organization
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Nikkita Johnson- Neealy, Owner/Nurse(708) 476-3795
- License
- 043.087417 (IL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1109 E 156th St
Dolton, IL 60419-2777
Phone: (708) 476-3795
Fax: (773) 821-0720
Street-level locationGet directions
Mailing address
1458 W 123rd St
Chicago, IL 60643-5768
Registry dates
- Enumerated
- 2009-03-26
- Last updated
- 2009-05-01
Frequently asked questions
- What is Serenity Haven Adult Day Care Inc's NPI number?
- Serenity Haven Adult Day Care Inc's National Provider Identifier (NPI) is 1912149626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Serenity Haven Adult Day Care Inc?
- Serenity Haven Adult Day Care Inc is classified in the NPPES registry as Licensed Practical Nurse (Nursing Service Providers).
- Where is Serenity Haven Adult Day Care Inc located?
- Serenity Haven Adult Day Care Inc's practice location on file with NPPES is 1109 E 156th St, Dolton, IL 60419-2777.
- What is Serenity Haven Adult Day Care Inc's phone number?
- The practice phone number listed in the NPPES registry for Serenity Haven Adult Day Care Inc is (708) 476-3795.
- Who is the authorized official for Serenity Haven Adult Day Care Inc?
- The authorized official listed on Serenity Haven Adult Day Care Inc's NPPES record is Nikkita Johnson- Neealy, Owner/Nurse. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Serenity Haven Adult Day Care Inc's NPI active?
- Yes — Serenity Haven Adult Day Care Inc's NPI (1912149626) is active in the NPPES registry as of the last update on 2009-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.