Provider Demographics
NPI:1992553143
Name:GOLDENSEAL HOME HEALTHCARE INC
Entity type:Organization
Organization Name:GOLDENSEAL HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SESAN
Authorized Official - Middle Name:EKUNDAYO
Authorized Official - Last Name:AKINYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-930-0313
Mailing Address - Street 1:1712 W ESTES AVE APT 308
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-2404
Mailing Address - Country:US
Mailing Address - Phone:773-930-0313
Mailing Address - Fax:
Practice Address - Street 1:1712 W ESTES AVE APT 308
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-2404
Practice Address - Country:US
Practice Address - Phone:773-930-0313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care