Serenity Care Agency , LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2500L001

Legal business name

SERENITY CARE AGENCY , LLC

Practice address

6087 Myrtle Ave
Ridgewood, NY 11385-5908

Phone

(718) 717-7426

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Sonny Pham

Title

President

Phone

(212) 786-2343

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1205314200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6087 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855908",
            "telephone_number": "718-717-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6087 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855908",
            "telephone_number": "718-717-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE AGENCY , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-786-2343"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "2500L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LHCSA",
            "identifier": "2500L001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SDPM United Pharmacy Inc.
• Nikki Elline Sebastian
• Joanne Seegobin, FNP
• Seneca Health Inc.
• Valeria Serban, MD, PH.D.
• Paul A Serghie, DDS
• Deepak Setia, MD
• Kishore M Shah IX, DDS
• Abul B Shahidullah, MD
• Shatha Khalil Shahwan

• Home Health Agency in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.