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SERAPHIC SPRINGS HEALTH CARE AGENCY, INC.
NPI 1063415602
Home Health in Lynn, MA

Active since May 27, 2005CLIA 22D0992513 · Waiver
425 WESTERN AVE, LYNN, MA 01904(781) 780-6515(781) 593-3618 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seraphic Springs Health Care Agency, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERAPHIC SPRINGS HEALTH CARE AGENCY, INC. (NPI 1063415602) is a healthcare organization registered as a home health in Lynn, Massachusetts and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Foluso Omotola Olubanjo, Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1063415602
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSERAPHIC SPRINGS HEALTH CARE AGENCY, INC.
Location Address425 WESTERN AVELynn, MA 01904-3317
Mailing Address425 Western AveLynn, MA 01904-3317 · (781) 780-6515 · Fax (781) 593-3618
Phone(781) 780-6515
Fax(781) 593-3618
Organization SubpartNo
Authorized OfficialFoluso Omotola OlubanjoAdministrator/owner · (781) 780-6515
Enumeration DateMay 27, 2005
Last NPPES UpdateOctober 20, 2015
✔ NPI 1063415602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Licenses✔ Licensed in MA · 227446✔ Licensed in ME · 227446
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
425 WESTERN AVE, Lynn, MA 01904
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Other Identifiers 3

Other110024476AMA · Masshealth
Medicaid0607002MA
Medicare PIN227446ME

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0992513

Seraphic Springs Health Care · Lynn, MA
Active · expires Oct 17, 2027
CLIA Number22D0992513
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorFoluso T. Olubanjo
Laboratory Phone(781) 780-6515
Laboratory LocationSeraphic Springs Health Care425 Western Avenue, Lynn, MA 01904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Seraphic Springs Healthcare (CMS certification number 227446), from CMS Care Compare.

Seraphic Springs Healthcare

Home health agency · Lynn, MA
OwnershipProprietary
CMS Certification Number227446
Medicare-Certified SinceSeptember 3, 1996
Phone(781) 581-2471
Services Offered
Skilled nursing care Physical therapy Occupational therapy Home health aide services

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
Cases too small to report
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seraphic Springs Health Care Agency, Inc.'s NPI number?

The NPI number for Seraphic Springs Health Care Agency, Inc. is 1063415602. It was assigned to this organization in the NPPES registry on May 27, 2005.

Where is Seraphic Springs Health Care Agency, Inc. located?

Seraphic Springs Health Care Agency, Inc. is located at 425 Western Ave, Lynn, MA 01904. The listed phone number is (781) 780-6515.

What is Seraphic Springs Health Care Agency, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Seraphic Springs Health Care Agency, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0992513) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Seraphic Springs Health Care Agency, Inc. a Medicare-certified home health agency?

Yes. Seraphic Springs Healthcare is a Medicare-certified home health agency, certified since September 3, 1996.

When was this NPI record last updated?

The NPPES record for Seraphic Springs Health Care Agency, Inc. was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.