Serenity Homecare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

10-012415-1 Issued in IN

Legal business name

SERENITY HOMECARE, LLC

Doing business as

Serenity Homecare

Practice address

2809 W Godman Ave
Suite #4
Muncie, IN 47304-4477

Phone

(765) 212-2156

Fax

(765) 212-2713

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Scott L O'Dell

Title

Presidet/Ceo

Phone

(765) 717-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Serenity Homecare Doing business as

Locations

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302912000000",
    "number": "1013218783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 W GODMAN AVE",
            "address_2": "SUITE #4",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044477",
            "telephone_number": "765-212-2156",
            "fax_number": "765-212-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 W GODMAN AVE",
            "address_2": "SUITE #4",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044477",
            "telephone_number": "765-212-2156",
            "fax_number": "765-212-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2011-04-16",
        "status": "A",
        "authorized_official_last_name": "O'DELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDET/CEO",
        "authorized_official_telephone_number": "765-717-4501"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "10-012415-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013218783",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine J Seitz, MA, CCC-SLP
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• Stephanie G Severson

• Home Health Agency in Muncie, IN
• Providers in Muncie, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; 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.