Organization Active NPI

Serenity Home Care & Companion, LLC

  • In Home Supportive Care Agency
  • Homestead, FL
National Provider Identifier
1033779376
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY HOME CARE & COMPANION, LLC
Practice address
25660 SW 133Rd Ave
Homestead, FL 33032-6802
Phone
(786) 275-3355
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Shanell M Thomas
Title
Owner
Phone
(786) 275-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

25660 SW 133Rd Ave
Homestead, FL 33032-6802

Mailing address

13500 SW 250TH St Unit 4137
Homestead, FL 33092-0879
Phone (786) 275-3355

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1033779376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 SW 250TH ST UNIT 4137",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330920879",
            "telephone_number": "786-275-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25660 SW 133RD AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326802",
            "telephone_number": "786-275-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE & COMPANION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SHANELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-275-3355"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.