Organization Active NPI

Serenity Unlimited, Inc.

  • In Home Supportive Care Agency
  • Leetsdale, PA
National Provider Identifier
1497254940
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
33603601 Issued in PA
Legal business name
SERENITY UNLIMITED, INC.
Practice address
412 Washington St
Leetsdale, PA 15056-1006
Phone
(412) 452-7142
NPI assigned
Feb 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Authorized official

Name
Mr. Corey D Pharr
Title
President/Ceo
Phone
(412) 452-7142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 33603601 PA Primary

Addresses

Primary practice location

412 Washington St
Leetsdale, PA 15056-1006

Mailing address

412 Washington St
Leetsdale, PA 15056-1006
Phone (412) 452-7142

Other identifiers 1

IdentifierTypeStateIssuer
33603601MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1497254940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 WASHINGTON ST",
            "city": "LEETSDALE",
            "state": "PA",
            "postal_code": "150561006",
            "telephone_number": "412-452-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 WASHINGTON ST",
            "city": "LEETSDALE",
            "state": "PA",
            "postal_code": "150561006",
            "telephone_number": "412-452-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY UNLIMITED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "PHARR",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "412-452-7142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "33603601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33603601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leetsdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.