Active NPI
Seraphim Healthcare LLC
- Adult Care Home Facility
- Gresham, OR
National Provider Identifier
1881541100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Humphrey Ngunjiri Wambugu
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse's Aide
- Gresham, OR
- NPI 1396692620
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.