Organization Active NPI

Serenity Healthcare, Inc.

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1245277458
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY HEALTHCARE, INC.
Doing business as
Serenity Healthcare Services
Practice address
1201 37TH Ave N
Minneapolis, MN 55412-2005
Phone
(612) 224-9992
Fax
(612) 224-9984
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Taha Abdurehman
Title
President/Ceo
Phone
(614) 736-3120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1201 37TH Ave N
Minneapolis, MN 55412-2005

Mailing address

1201 37TH Ave N
Minneapolis, MN 55412-2005
Phone (612) 224-9992

Other names 1

  • Serenity Healthcare Services Doing business as

National Provider Directory

National Provider Directory

Locations

1201 37th Ave N
Minneapolis, MN 55412
Phone (612) 224-9992

2736 Lyndale Ave S
Ste 202
Minneapolis, MN 55408
Phone (614) 327-3120

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1245277458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 37TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122005",
            "telephone_number": "612-224-9992",
            "fax_number": "612-224-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 37TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122005",
            "telephone_number": "612-224-9992",
            "fax_number": "612-224-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "ABDUREHMAN",
        "authorized_official_first_name": "TAHA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "614-736-3120"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.