Healthcare Provider Details

I. General information

NPI: 1831917061
Provider Name (Legal Business Name): VERDURE HAVEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2024
Last Update Date: 03/29/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 N NAPER BLVD STE 200
NAPERVILLE IL
60563-8838
US

IV. Provider business mailing address

1717 N NAPER BLVD STE 200
NAPERVILLE IL
60563-8838
US

V. Phone/Fax

Practice location:
  • Phone: 312-731-3551
  • Fax: 312-731-3551
Mailing address:
  • Phone: 312-731-3551
  • Fax: 312-731-3551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: HABIBAT OWOLABI
Title or Position: RN
Credential: RN
Phone: 312-731-3551