Provider Demographics
NPI:1891462701
Name:SERENDIPTY HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:SERENDIPTY HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:ONYEKA
Authorized Official - Last Name:ASIELUE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:773-876-4837
Mailing Address - Street 1:3601 W DEVON AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-1299
Mailing Address - Country:US
Mailing Address - Phone:872-208-5609
Mailing Address - Fax:
Practice Address - Street 1:3601 W DEVON AVE STE 302
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-1299
Practice Address - Country:US
Practice Address - Phone:872-208-5609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care