Organization Active NPI

Sage and Enamel Home Healthcare System LLC

  • Home Health Agency
  • Champaign, IL
National Provider Identifier
1598352411
Registry record updated Dec 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAGE AND ENAMEL HOME HEALTHCARE SYSTEM LLC
Doing business as
Sage and Enamel Home Healthcare System LLC
Practice address
2302 W John St Apt 207
Champaign, IL 61821-6838
Phone
(224) 600-1938
NPI assigned
Dec 26, 2020
Last updated
Dec 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2020

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

Authorized official

Name
Mr. Emmanuel Seun Adeyemi
Title
Administrator
Phone
(224) 600-1938

Specialties & licenses 1

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

Addresses

Primary practice location

2302 W John St Apt 207
Champaign, IL 61821-6838

Mailing address

2302 W John St Apt 207
Champaign, IL 61821-6838
Phone (224) 600-1938

Other names 1

  • Sage and Enamel Home Healthcare System LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608940800000",
    "number": "1598352411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 W JOHN ST APT 207",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618216838",
            "telephone_number": "224-600-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W JOHN ST APT 207",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618216838",
            "telephone_number": "224-600-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE AND ENAMEL HOME HEALTHCARE SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-26",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A",
        "authorized_official_last_name": "ADEYEMI",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "SEUN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "224-600-1938",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage and Enamel Home Healthcare System LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.