Healthcare Provider Details

I. General information

NPI: 1831039080
Provider Name (Legal Business Name): SARAHS HAVEN NFP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10205 W LINCOLN HWY
FRANKFORT IL
60423-1279
US

IV. Provider business mailing address

10205 W LINCOLN HWY
FRANKFORT IL
60423-1279
US

V. Phone/Fax

Practice location:
  • Phone: 630-456-3434
  • Fax:
Mailing address:
  • Phone: 630-456-3434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHIME AJIERE
Title or Position: PRESIDENT
Credential: DNP
Phone: 630-456-3434