Organization Active NPI

Serenity Kare Solutions LLC

  • Home Health Agency
  • Jennings, FL
National Provider Identifier
1225864259
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 9, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2311762Serenity Kare Solutions5988 NW 27TH Way, Jennings, FL 32053Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.