Organization Active NPI

Simply Serenity Healthcare Agency LLC

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1144101759
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIMPLY SERENITY HEALTHCARE AGENCY LLC
Practice address
16741 Terrebonne Dr
Tyler, TX 75703-7785
Phone
(469) 335-3387
NPI assigned
Sep 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Sandra Williams
Title
Managing Member
Phone
(469) 335-3387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16741 Terrebonne Dr
Tyler, TX 75703-7785

Mailing address

16741 Terrebonne Dr
Tyler, TX 75703-7785
Phone (469) 335-3387

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1144101759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16741 TERREBONNE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037785",
            "telephone_number": "469-335-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16741 TERREBONNE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037785",
            "telephone_number": "469-335-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SERENITY HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-335-3387"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.