Organization Active NPI

Serenity Falls Home Health Agency, Inc.

  • Home Health Agency
  • Grand Prairie, TX
National Provider Identifier
1316172174
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY FALLS HOME HEALTH AGENCY, INC.
Practice address
4928 Screech Owl LN
Grand Prairie, TX 75052-3059
Phone
(682) 553-4112
Fax
(972) 206-2321
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Veronica Okpadile Obianuju Okpadile, LVN
Title
Owner/Cfo
Phone
(682) 553-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4928 Screech Owl LN
Grand Prairie, TX 75052-3059

Mailing address

4928 Screech Owl LN
Grand Prairie, TX 75052-3059
Phone (682) 553-4112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1316172174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 SCREECH OWL LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523059",
            "telephone_number": "682-553-4112",
            "fax_number": "972-206-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 SCREECH OWL LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523059",
            "telephone_number": "682-553-4112",
            "fax_number": "972-206-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY FALLS HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "OKPADILE",
        "authorized_official_first_name": "VERONICA OKPADILE",
        "authorized_official_middle_name": "OBIANUJU",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "682-553-4112",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.