Simply Serenity Healthcare Agency LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

SIMPLY SERENITY HEALTHCARE AGENCY LLC

Practice address

16741 Terrebonne Dr
Tyler, TX 75703-7785

Phone

(469) 335-3387

Fax

(877) 681-0459

NPI assigned

Oct 27, 2025

Organization subpart

No

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

Addresses

Tax ID family

Simply Serenity Healthcare Agency LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Simply Serenity Healthcare Agency LLC

  • Home Health Agency
  • Tyler, TX
  • NPI 1275401754
  NPD tax ID

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1174491641",
    "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",
            "fax_number": "877-681-0459"
        },
        {
            "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",
            "fax_number": "877-681-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SERENITY HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "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": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Dental Services PLLC
• Robert Anthony Simon, DDS
• Paige Lackey Simons, PA-C
• Zackery Ryan Simons
• Simply Serenity Healthcare Agency LLC
• Simply Serenity Healthcare Agency LLC
• Simply Supportive Caregiving LLC
• Amy Katherine Simpson, M.D.
• Cheryl Simpson
• Sims Therapy

• Home Health Aide in Tyler, TX
• Providers in Tyler, TX by specialty
• Home Health Aide in Texas

• 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.