Organization Active NPI

Seraphim Healthcare LLC

  • Adult Care Home Facility
  • Gresham, OR
National Provider Identifier
1881541100
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SERAPHIM HEALTHCARE LLC
Practice address
4777 SW 11TH St Apt 223
Gresham, OR 97080-4305
Phone
(971) 232-3132
NPI assigned
Mar 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Humphrey Ngunjiri WambuguNPI 1396692620
Title
Ceo
Phone
(774) 232-1799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

4777 SW 11TH St Apt 223
Gresham, OR 97080-4305

Mailing address

4777 SW 11TH St Apt 223
Gresham, OR 97080-4305
Phone (503) 465-3877

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1881541100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 SW 11TH ST APT 223",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970804305",
            "telephone_number": "503-465-3877",
            "fax_number": "503-465-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 SW 11TH ST APT 223",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970804305",
            "telephone_number": "971-232-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERAPHIM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "WAMBUGU",
        "authorized_official_first_name": "HUMPHREY",
        "authorized_official_middle_name": "NGUNJIRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "774-232-1799"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.