Serenity Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY HOME CARE LLC

Practice address

7013 Irving Ave N
Brooklyn Center, MN 55430-1159

Phone

(651) 246-4263

NPI assigned

Jan 26, 2021

Last updated

Jan 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bao Vang

Title

Ceo

Phone

(651) 246-4263

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1154911832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 IRVING AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301159",
            "telephone_number": "651-246-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 IRVING AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301159",
            "telephone_number": "651-246-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "BAO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-246-4263"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.