Serenity Private Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SERENITY PRIVATE CARE LLC

Practice address

8550 United Plaza Blvd Ste 702
Baton Rouge, LA 70809-0200

Phone

(225) 963-6688

Fax

(225) 963-6688

NPI assigned

Nov 5, 2018

Organization subpart

No

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

Authorized official

Name

Jackie Lavette Moore

Title

Owner

Phone

(225) 963-0308

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1386112605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 UNITED PLAZA BLVD STE 702",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708090200",
            "telephone_number": "225-963-6688",
            "fax_number": "225-963-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 UNITED PLAZA BLVD STE 702",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708090200",
            "telephone_number": "225-963-6688",
            "fax_number": "225-963-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PRIVATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "LAVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-963-0308"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• In Home Supportive Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.