Organization Active NPI

Sedum Home Health, Inc

  • Home Health Agency
  • Kansas City, MO
National Provider Identifier
1386168649
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SEDUM HOME HEALTH, INC
Practice address
1220 E 63Rd St Ste 300
Kansas City, MO 64110-3424
Phone
(816) 743-4553
Fax
(816) 897-0426
NPI assigned
Jul 28, 2017
Last updated
Mar 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Stella Obiageli Obi, RN
Title
President/Ceo
Phone
(816) 724-6664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1220 E 63Rd St Ste 300
Kansas City, MO 64110-3424

Mailing address

1220 E 63Rd St Ste 300
Kansas City, MO 64110-3424
Phone (816) 743-4553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180507000156 MO Part A Provider - Home Health Agency 0042574782 Practice locations: Kansas City, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386168649. Details of each certification follow.

Home health agency certification: CCN 267668

Legal name
SEDUM HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 4, 2019
Last certification
Mar 4, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 9, 2017 in MO
Enrollment address
1220 E 63Rd St
Ste 300
Kansas City, MO 64110-3424

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sedum Home Health, IncCCN 267668 · All quality measures
Ownership
Proprietary
Certified
Mar 4, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2145664Sedum Home Health1220 E 63Rd Street, Kansas City, MO 64110Certificate of waiverMar 12, 2028

National Provider Directory

National Provider Directory

Locations

1220 E 63rd St
Ste 300
Kansas City, MO 64110
Phone (816) 743-4553

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ifeoma Obi Individual Corporate DirectorBoard Member Jan 20, 2021
W-2 Managing EmployeeOffice Manager Jan 20, 2021
Emmanuel Obi Individual Corporate DirectorBoard Member Jul 9, 2017
Stella Obi Individual 5% Or Greater Direct Ownership InterestOwner Jul 9, 2017 100%
Corporate OfficerChief Executive Officer Jul 9, 2017 100%
Corporate DirectorBoard Member Jul 9, 2017 100%

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1386168649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 63RD ST STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103424",
            "telephone_number": "816-743-4553",
            "fax_number": "816-897-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 63RD ST STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103424",
            "telephone_number": "816-743-4553",
            "fax_number": "816-897-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDUM HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "OBI",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "OBIAGELI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "816-724-6664",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.