Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Serenity Haven Adult Day Care Inc

Organization Licensed Practical Nurse · NPI 1912149626

Serenity Haven Adult Day Care Inc provides Licensed Practical Nurse services in Dolton, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1109 E 156th St
Dolton, IL 60419-2777 Not confirmed with CMS for 17 years — call before visiting
Phone: (708) 476-3795
Fax: (773) 821-0720
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 043.087417 (IL)

Record details

NPI number1912149626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nikkita Johnson- Neealy — Owner/Nurse · (708) 476-3795
NPI enumeratedMarch 26, 2009
Last updated in NPPESMay 1, 2009
Mailing address1458 W 123rd St, Chicago, IL 60643-5768

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