Serenity Home Care Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

089-R-1894 Issued in GA

Legal business name

SERENITY HOME CARE SERVICES, LLC

Practice address

734 Robin Hood Dr
Hinesville, GA 31313-3985

Phone

(239) 738-8688

NPI assigned

Feb 23, 2018

Last updated

Mar 14, 2019By 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

Miss Kerllanne Occeus, RN

Title

Provider

Phone

(239) 738-8688

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1174024210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 ROBIN HOOD DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133985",
            "telephone_number": "239-738-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 ROBIN HOOD DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133985",
            "telephone_number": "239-738-8688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 N Main St Unit C",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313133237",
            "country_code": "US",
            "telephone_number": "888-420-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "OCCEUS",
        "authorized_official_first_name": "KERLLANNE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "239-738-8688",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "089-R-1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Jean Scripsack, PTA
• Caleb Seal
• Shawneeke Seals
• Jimmy Andrew Sellers, APRN FNP C
• Serenity Hair Loss Clinic
• Serenity House PCH, Inc.
• Serenity House PCH, Inc.
• Serenity Rose
• Serve, LLC (DBA: Annette J Benneche)
• Daniel L Severtson, ATC

• In Home Supportive Care Agency in Hinesville, GA
• Providers in Hinesville, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.