Organization Active NPI

Serenity Gardens Home Health Services LLC.

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1154839488
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY GARDENS HOME HEALTH SERVICES LLC.
Practice address
3002 S Jefferson Ave Ste 201
Saint Louis, MO 63118
Phone
(314) 458-5610
NPI assigned
Jan 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Mr. Tyrone Cain
Title
Owner
Phone
(800) 491-4463

Specialties & licenses 1

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

Addresses

Primary practice location

3002 S Jefferson Ave Ste 201
Saint Louis, MO 63118

Mailing address

3002 S Jefferson Ave Ste 201
Saint Louis, MO 63118-1513

Other names 1

  • Serenity Gardens Home Health Services LLC. Former legal business name

National Provider Directory

National Provider Directory

Locations

3002 S Jefferson Ave
Ste 201
Saint Louis, MO 63118
Phone (314) 458-5610

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1154839488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 S JEFFERSON AVE STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 S JEFFERSON AVE STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63118",
            "telephone_number": "314-458-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY GARDENS HOME HEALTH SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-491-4463",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Gardens Home Health Services LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.