Active NPI
Sedum Home Health, Inc
- Home Health Agency
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- Proprietary
- Certified
- Mar 4, 2019
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2145664 | Sedum Home Health | Certificate of waiver | Mar 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ifeoma Obi | Corporate Director | Jan 20, 2021 | |
| W-2 Managing Employee | Jan 20, 2021 | ||
| Emmanuel Obi | Corporate Director | Jul 9, 2017 | |
| Stella Obi | 5% Or Greater Direct Ownership Interest | Jul 9, 2017 | 100% |
| Corporate Officer | Jul 9, 2017 | 100% | |
| Corporate Director | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.