Provider Demographics
NPI:1730068123
Name:OBED, HENRY CHINEDU
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:CHINEDU
Last Name:OBED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:SAFE
Other - Middle Name:CARE
Other - Last Name:SPOT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2053 ARROWHEAD DR APT 2A
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-5190
Mailing Address - Country:US
Mailing Address - Phone:219-805-8208
Mailing Address - Fax:
Practice Address - Street 1:2053 ARROWHEAD DR APT 2A
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5190
Practice Address - Country:US
Practice Address - Phone:219-805-8208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN25019242372600000X, 376J00000X
250192423747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker