Organization Active NPI

Serenecare Health Services L.L.C

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1174331797
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENECARE HEALTH SERVICES L.L.C
Practice address
1085 Ozment Dr
Florissant, MO 63033-6003
Phone
(314) 374-9789
NPI assigned
Dec 28, 2024
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Trena N White
Title
Managing Memeber
Phone
(314) 374-9789

Specialties & licenses 1

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

Addresses

Primary practice location

1085 Ozment Dr
Florissant, MO 63033-6003

Mailing address

1085 Ozment Dr
Florissant, MO 63033-6003
Phone (314) 374-9789

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1735344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1174331797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 OZMENT DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336003",
            "telephone_number": "314-374-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 OZMENT DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336003",
            "telephone_number": "314-374-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENECARE HEALTH SERVICES L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-28",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TRENA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING MEMEBER",
        "authorized_official_telephone_number": "314-374-9789"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.