Organization Active NPI

Devoted Serenity Homecare Agency LLC

  • Home Health Agency
  • Cleveland Heights, OH
National Provider Identifier
1306449038
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEVOTED SERENITY HOMECARE AGENCY LLC
Practice address
2490 Lee Blvd Ste 200-13
Cleveland Heights, OH 44118-1268
Phone
(216) 417-6532
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Lakita SamuelsNPI 1871944850
Title
Owner
Phone
(216) 417-6532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2490 Lee Blvd Ste 200-13
Cleveland Heights, OH 44118-1268

Mailing address

2490 Lee Blvd Ste 200-13
Cleveland Heights, OH 44118-1268

National Provider Directory

National Provider Directory

Locations

2490 Lee Blvd
Ste 200-13
Cleveland Heights, OH 44118
Phone (216) 417-6532

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": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1306449038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD STE 200-13",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD STE 200-13",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181268",
            "telephone_number": "216-417-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED SERENITY HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "LAKITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-417-6532"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.