Active NPI
Serenity Kare Solutions LLC
- Home Health Agency
- Jennings, FL
National Provider Identifier
1225864259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SERENITY KARE SOLUTIONS LLC
- Practice address
- 5988 NW 27TH Way
Jennings, FL 32053-2512 - Phone
- (386) 855-4215
- NPI assigned
- Sep 9, 2024
- 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
- Shawnetter Jackson
- Title
- Owner
- Phone
- (386) 855-4215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5988 NW 27TH Way
Jennings, FL 32053-2512
Mailing address
5988 NW 27TH Way
Jennings, FL 32053-2512
Phone (386) 855-4215
Other names 1
- Shawnetter Jackson
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2311762 | Serenity Kare Solutions | Certificate of waiver | Sep 29, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1725840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1225864259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5988 NW 27TH WAY",
"city": "JENNINGS",
"state": "FL",
"postal_code": "320532512",
"telephone_number": "386-855-4215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5988 NW 27TH WAY",
"city": "JENNINGS",
"state": "FL",
"postal_code": "320532512",
"telephone_number": "386-855-4215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY KARE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "SHAWNETTER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-855-4215"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shawnetter Jackson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jennings, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.