Provider Demographics
NPI:1548070444
Name:SEROBIS HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:SEROBIS HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AKUA
Authorized Official - Middle Name:S
Authorized Official - Last Name:OBIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-368-3518
Mailing Address - Street 1:3700 MACK RD APT 9
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-6647
Mailing Address - Country:US
Mailing Address - Phone:973-368-3518
Mailing Address - Fax:
Practice Address - Street 1:3700 MACK RD APT 9
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-6647
Practice Address - Country:US
Practice Address - Phone:973-368-3518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty