Organization Active NPI

Serenity Care Agency Corp

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1467114058
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY CARE AGENCY CORP
Practice address
454 NW 22ND Ave Ste 200
Miami, FL 33125-3354
Phone
(754) 243-1931
NPI assigned
Oct 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Giselle Ibanez
Title
Administrador
Phone
(754) 243-1931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

454 NW 22ND Ave Ste 200
Miami, FL 33125-3354

Mailing address

454 NW 22ND Ave Ste 200
Miami, FL 33125-3354
Phone (754) 243-1931

National Provider Directory

National Provider Directory

Locations

454 NW 22nd Ave
Ste 200
Miami, FL 33125
Phone (305) 643-1770

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1467114058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 NW 22ND AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253354",
            "telephone_number": "754-243-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 NW 22ND AVE STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253354",
            "telephone_number": "754-243-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE AGENCY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "GISELLE",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "754-243-1931"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.