Organization Active NPI

Serenity Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn Park, MN
National Provider Identifier
1043961014
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SERENITY HOME MEDICAL
Practice address
9241 Trinity Gardens
Brooklyn Park, MN 55443-1656
Phone
(763) 464-2992
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Danielle Chante Bratton-BrodieNPI 1083464952
Title
Owner
Phone
(763) 464-2992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

9241 Trinity Gardens
Brooklyn Park, MN 55443-1656

Mailing address

9241 Trinity Gardens
Brooklyn Park, MN 55443-1656
Phone (763) 464-2992

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1043961014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 TRINITY GARDENS",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431656",
            "telephone_number": "763-464-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 TRINITY GARDENS",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431656",
            "telephone_number": "763-464-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "BRATTON-BRODIE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "CHANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-464-2992"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.