Organization Active NPI

Seraphic Homecare LLC

  • Home Health Agency
  • Plano, TX
National Provider Identifier
1497509186
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERAPHIC HOMECARE LLC
Practice address
5036 Randolph St
Plano, TX 75074-0308
Phone
(425) 221-3166
Fax
(903) 304-5808
NPI assigned
Apr 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Fidelia Ukhurebor, RN
Title
Owner
Phone
(425) 221-3166

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Respite Care 385H00000X

Addresses

Primary practice location

5036 Randolph St
Plano, TX 75074-0308

Mailing address

5036 Randolph St
Plano, TX 75074-0308
Phone (425) 221-3166

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
45D2312280Seraphic Homecare LLC5036 Randolph Street, Plano, TX 75074Certificate of waiverOct 7, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1497509186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 RANDOLPH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750740308",
            "telephone_number": "425-221-3166",
            "fax_number": "903-304-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 RANDOLPH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750740308",
            "telephone_number": "425-221-3166",
            "fax_number": "903-304-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERAPHIC HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "UKHUREBOR",
        "authorized_official_first_name": "FIDELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-221-3166",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.