Serentiy Living Homecare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SERENTIY LIVING HOMECARE

Practice address

364 N Parkway Ste 8
Jackson, TN 38305-2874

Phone

(731) 736-1005

Fax

(731) 736-1111

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Erica MartinNPI 1174305007

Title

Owner

Phone

(731) 431-7241

Specialties & licenses 1

Addresses

Other names 1

• Serentiy Living Homecare Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Nicole Martin

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jackson, TN
  • NPI 1174305007
  NPD Authorized official

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1295583128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 N PARKWAY STE 8",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052874",
            "telephone_number": "731-736-1005",
            "fax_number": "731-736-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 N PARKWAY STE 8",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052874",
            "telephone_number": "731-736-1005",
            "fax_number": "731-736-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENTIY LIVING HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-431-7241"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serentiy Living Homecare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brian Lee Sellers, OD
• Melissa Lloy Sellers, RN
• Semmes-Murphey Clinic PC
• Senior Resource Center, LLC
• Meagan Meketi Seratt, DNP, APRN, CRNA
• Fred J Sesti, FNP
• Shannon Holcomb Shaffar, BA
• Shahzad Shah, M.D.
• Shaicandie Merchandise LLC
• Allison Layne Shamblin, P.A.

• In Home Supportive Care Agency in Jackson, TN
• Providers in Jackson, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.