NPIMap

Organization Active NPI

Serenity Senior Support LLC

  • Adult Companion
  • Omaha, NE
National Provider Identifier
1346131836
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
SERENITY SENIOR SUPPORT LLC
Practice address
7837 King St
Omaha, NE 68122-1421
Phone
(402) 612-9363
NPI assigned
Jul 11, 2025
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Mrs. Lynette M JacksonNPI 1346033230
Title
Owner
Phone
(402) 612-9361

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
Adult Companion 372600000X NU Primary

Addresses

Primary practice location

7837 King St
Omaha, NE 68122-1421

Mailing address

7837 King St
Omaha, NE 68122-1421
Phone (402) 612-9363

National Provider Directory

National Provider Directory
Tax ID family
Serenity Senior Support LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1346131836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7837 KING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221421",
            "telephone_number": "402-612-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7837 KING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221421",
            "telephone_number": "402-612-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SENIOR SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-612-9361",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.