Active NPI
Serenity Home Care Ms
- In Home Supportive Care Agency
- Gautier, MS
National Provider Identifier
1215547773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Franchesca Moultrie
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Non-emergency Medical Transport (VAN)
- Diberville, MS
- NPI 1285282665
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.