Serenity at Home, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SERENITY AT HOME, LLC

Practice address

28345 Beck Rd
Suite 209
Wixom, MI 48393-4733

Phone

(248) 912-1030

Fax

(248) 912-1031

NPI assigned

Apr 21, 2011

Organization subpart

No

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

Authorized official

Name

Tyrone H Rashid

Title

Owner/Administrator

Phone

(248) 912-1030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1275824492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28345 BECK RD",
            "address_2": "SUITE 209",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483934733",
            "telephone_number": "248-912-1030",
            "fax_number": "248-912-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28345 BECK RD",
            "address_2": "SUITE 209",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483934733",
            "telephone_number": "248-912-1030",
            "fax_number": "248-912-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "248-912-1030"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mavis Akose Sarpong Krampah
• Renee Schultz
• Madeline Ann Schulz, ATC
• Second Chance Assisted Living
• Ranjan Sen, OTR
• Jason Alexander Setsuda, D.O.
• Nadia Shaba
• Paul S Shabou, MD
• Elvira Shani
• Benjamin Shaw

• Community Based Hospice Care Agency in Wixom, MI
• Providers in Wixom, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.