Organization Active NPI

Serenity Home Care Ms

  • In Home Supportive Care Agency
  • Gautier, MS
National Provider Identifier
1215547773
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY HOME CARE MS
Practice address
2012 Highway 90 Ste 9
Gautier, MS 39553-5305
Phone
(228) 297-6862
NPI assigned
Aug 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Franchesca MoultrieNPI 1285282665
Title
Owner
Phone
(228) 297-6862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Home Delivered Meals 332U00000X

Addresses

Primary practice location

2012 Highway 90 Ste 9
Gautier, MS 39553-5305

Mailing address

3760 River Loop Dr
Diberville, MS 39540-7301

National Provider Directory

National Provider Directory

Locations

2012 Highway 90
Ste 9
Gautier, MS 39553
Phone (228) 297-6862

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1215547773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 RIVER LOOP DR",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395407301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 HIGHWAY 90 STE 9",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535305",
            "telephone_number": "228-297-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-08",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "MOULTRIE",
        "authorized_official_first_name": "FRANCHESCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-297-6862"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gautier, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.