Organization Active NPI

Branch of Serenity Home Care Agency

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1083401459
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BRANCH OF SERENITY HOME CARE AGENCY
Practice address
2261 Lema Cir
Indianapolis, IN 46229-1848
Phone
(463) 245-8806
NPI assigned
Apr 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Mrs. Kyla Nicole Shelton, LPN
Title
Business Administrator/Owner
Phone
(463) 245-8806

Specialties & licenses 1

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

Addresses

Primary practice location

2261 Lema Cir
Indianapolis, IN 46229-1848

Mailing address

2261 Lema Cir
Indianapolis, IN 46229-1848
Phone (463) 245-8806

Other names 1

  • Branch of Serenity Home Care Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1083401459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 LEMA CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462291848",
            "telephone_number": "463-245-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 LEMA CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462291848",
            "telephone_number": "463-245-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH OF SERENITY HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "KYLA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "463-245-8806",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Branch of Serenity Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

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