Organization Active NPI

Serenity Home Healthcare and Nursing Solutions LLC

  • Home Health Agency
  • Sewell, NJ
National Provider Identifier
1447695366
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0173000 Issued in NJ
Legal business name
SERENITY HOME HEALTHCARE AND NURSING SOLUTIONS LLC
Practice address
508 Hurffville Crosskeys Rd Ste 16
Sewell, NJ 08080
Phone
(856) 344-7982
Fax
(856) 344-7984
NPI assigned
May 6, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Lanette Denise Keeton
Title
Ceo/Owner
Phone
(856) 344-7982

National Provider Directory

National Provider Directory
Tax ID family
Serenity Home Healthcare and Nursing Solutions 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.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0173000 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

508 Hurffville Crosskeys Rd Ste 16
Sewell, NJ 08080

Mailing address

508 Hurffville Crosskeys Rd Ste 16
Sewell, NJ 08080-2730
Phone (856) 344-7982

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0607169MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2020.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1447695366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HURFFVILLE CROSSKEYS RD STE 16",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802730",
            "telephone_number": "856-344-7982",
            "fax_number": "856-344-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HURFFVILLE CROSSKEYS RD STE 16",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "856-344-7982",
            "fax_number": "856-344-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME HEALTHCARE AND NURSING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "KEETON",
        "authorized_official_first_name": "LANETTE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "856-344-7982",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0173000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0607169",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.