Serene Home Care Agency, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

34133601 Issued in PA

Legal business name

SERENE HOME CARE AGENCY, LLC.

Practice address

6151 N Fairhill St
Philadelphia, PA 19120-1326

Phone

(215) 669-9216

Fax

(215) 669-9216

NPI assigned

Oct 18, 2017

Last updated

Oct 18, 2017By 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

Ericka Koumare

Title

President

Phone

(215) 669-9216

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1215448121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 N FAIRHILL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201326",
            "telephone_number": "215-669-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 N FAIRHILL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201326",
            "telephone_number": "215-669-9216",
            "fax_number": "215-669-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HOME CARE AGENCY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "KOUMARE",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-669-9216"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "34133601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ryan Anthony Serdenes, DO
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• Serenity Home Health Care LLC
• Serenity Medical Care LLC

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.