Organization Active NPI

Serenity Quality Home Care LLC

  • Home Health Agency
  • Mount Morris, MI
National Provider Identifier
1114662772
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY QUALITY HOME CARE LLC
Practice address
12131 Washington Ave
Mount Morris, MI 48458-1596
Phone
(810) 407-8333
Fax
(810) 407-8337
NPI assigned
Apr 28, 2022
Last updated
Apr 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Kimberly Itson
Title
Owner
Phone
(810) 449-2754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

12131 Washington Ave
Mount Morris, MI 48458-1596

Mailing address

12131 Washington Ave
Mount Morris, MI 48458-1596
Phone (810) 449-2754

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1114662772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 WASHINGTON AVE",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484581596",
            "telephone_number": "810-449-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12131 WASHINGTON AVE",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484581596",
            "telephone_number": "810-407-8333",
            "fax_number": "810-407-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY QUALITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "ITSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-449-2754"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Morris, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.