Organization Active NPI

Serene Home Care Solutions LLC

  • In Home Supportive Care Agency
  • Blaine, MN
National Provider Identifier
1073489191
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENE HOME CARE SOLUTIONS LLC
Practice address
10995 Okinawa St NE
Blaine, MN 55449-6203
Phone
(763) 218-6280
NPI assigned
Oct 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Wali Mahmood
Title
Owner
Phone
(763) 342-1127

Specialties & licenses 1

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

Addresses

Primary practice location

10995 Okinawa St NE
Blaine, MN 55449-6203

Mailing address

10995 Okinawa St NE
Blaine, MN 55449-6203
Phone (763) 218-6280

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1073489191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10995 OKINAWA ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554496203",
            "telephone_number": "763-218-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10995 OKINAWA ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554496203",
            "telephone_number": "763-218-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HOME CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "WALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-342-1127"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.