Sacred Space in Home Health Care LLC
NPI 1356203368ActiveOrganization· Nurse Practitioner, Adult Health· Chicago, IL
Nurse Practitioner, Adult Health in Chicago, Illinois, registered in NPPES in November 2025. The authorized official on file is Phyllis Eggleston, DNP, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356203368 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 27, 2025 |
| Last updated in NPPES | Nov 27, 2025 |
| Certified by provider | Nov 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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