Healthcare Provider Details

I. General information

NPI: 1659612570
Provider Name (Legal Business Name): SAPEX HOME HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2013
Last Update Date: 03/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4107 WEST 47TH STREET
CHICAGO IL
60632
US

IV. Provider business mailing address

4107 WEST 47TH STREET
CHICAGO IL
60632
US

V. Phone/Fax

Practice location:
  • Phone: 773-847-9500
  • Fax: 773-847-9501
Mailing address:
  • Phone: 773-847-9500
  • Fax: 773-847-9501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARY YAA MENSAH-SOGBE
Title or Position: VICE PRESIDENT
Credential: RN.
Phone: 773-847-9500