Organization Active NPI

Serenity Home Care Solutions LLC

  • In Home Supportive Care Agency
  • Shreveport, LA
National Provider Identifier
1396432274
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY HOME CARE SOLUTIONS LLC
Practice address
7505 Pines Rd Ste 1285
Shreveport, LA 71129-3923
Phone
(318) 562-3491
Fax
(318) 277-2500
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Miss Sharon Waggoner, LMSWNPI 1609249549
Title
Administrator
Phone
(318) 562-3491

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7505 Pines Rd Ste 1285
Shreveport, LA 71129-3923

Mailing address

7505 Pines Rd Ste 1285
Shreveport, LA 71129-3923
Phone (318) 562-3491

National Provider Directory

National Provider Directory

Locations

7505 Pines Rd
Ste 1285
Shreveport, LA 71129
Phone (318) 562-3491

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": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1396432274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 PINES RD STE 1285",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293923",
            "telephone_number": "318-562-3491",
            "fax_number": "318-277-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 PINES RD STE 1285",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293923",
            "telephone_number": "318-562-3491",
            "fax_number": "318-277-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "WAGGONER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-562-3491",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.