Serenity Heart LLC

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

SERENITY HEART LLC

Practice address

3224 Brasque Dr
Jacksonville, FL 32209-2118

Phone

(904) 517-0764

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Serena DemeryNPI 1043048267

Title

0Wner

Phone

(904) 517-0764

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Serena Demery

  • Adult Companion
  • Jacksonville, FL
  • NPI 1043048267
  NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1407684459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 BRASQUE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092118",
            "telephone_number": "904-517-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 BRASQUE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092118",
            "telephone_number": "904-517-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "DEMERY",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "0WNER",
        "authorized_official_telephone_number": "904-517-0764",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Companion in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Companion in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.