Provider Demographics
NPI:1386168649
Name:SEDUM HOME HEALTH, INC
Entity type:Organization
Organization Name:SEDUM HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:OBIAGELI
Authorized Official - Last Name:OBI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:816-724-6664
Mailing Address - Street 1:1220 E 63RD ST STE 300
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64110-3424
Mailing Address - Country:US
Mailing Address - Phone:816-743-4553
Mailing Address - Fax:816-897-0426
Practice Address - Street 1:1220 E 63RD ST STE 300
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-3424
Practice Address - Country:US
Practice Address - Phone:816-743-4553
Practice Address - Fax:816-897-0426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health