Healthcare Provider Details

I. General information

NPI: 1801126081
Provider Name (Legal Business Name): SERENDIPTY HOME HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2010
Last Update Date: 09/02/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3349 MAIN ST
SKOKIE IL
60076-2432
US

IV. Provider business mailing address

3349 MAIN ST
SKOKIE IL
60076-2432
US

V. Phone/Fax

Practice location:
  • Phone: 872-208-5609
  • Fax: 773-409-5047
Mailing address:
  • Phone: 872-208-5609
  • Fax: 773-409-5047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHUKWUDI UZOR ULOGO
Title or Position: ADMINISTRATOR
Credential:
Phone: 872-208-5609