Home Serenity LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

D7101U Issued in MI

Legal business name

HOME SERENITY LLC

Practice address

1742 Huntington Ave
Madison Heights, MI 48071-4406

Phone

(248) 231-4133

NPI assigned

May 25, 2013

Organization subpart

No

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

Authorized official

Name

Ms. June Watkins, CNA CERTIFICATE

Title

Cna/Owner

Phone

(248) 797-0476

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1369440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1487091849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 HUNTINGTON AVE",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480714406",
            "telephone_number": "248-231-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 HUNTINGTON AVE",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480714406",
            "telephone_number": "248-231-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SERENITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-25",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "CNA/OWNER",
        "authorized_official_telephone_number": "248-797-0476",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA CERTIFICATE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "D7101U",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.