Provider Demographics
NPI:1295607190
Name:SERAPHIC HOME HEALTH LLC
Entity type:Organization
Organization Name:SERAPHIC HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BONNAVENTURE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-554-2490
Mailing Address - Street 1:4554 N BROADWAY ST STE 218
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-5671
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4554 N BROADWAY ST STE 218
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5671
Practice Address - Country:US
Practice Address - Phone:773-554-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty