Serenity Plus Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

012871 Issued in TX

Legal business name

SERENITY PLUS HOME HEALTH INC.

Practice address

106 Houston St N
Mt Vernon, TX 75457

Phone

(903) 270-6292

Fax

(903) 201-6766

NPI assigned

Apr 14, 2009

Last updated

Dec 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Radhakrishnan Panicker

Title

Alt Administrator

Phone

(214) 455-8630

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508009903. Details of each certification follow.

• CCN 747707 Home health agency · Active · Details

Home health agency certification: CCN 747707

Legal name

SERENITY PLUS HOME HEALTH INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 30, 2012

Last certification

Jan 22, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 9, 2009 in TX

Enrollment address

106 Houston St N
Mt Vernon, TX 75457

Listed as

Serenity Plus Home Health IncCCN 747707 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jan 30, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jean Woel Latortue, MD

  • Family Medicine Physician
  • Mount Vernon, TX
  • NPI 1780871988

  Home health agency

  Care Compare affiliation
• Jared B Petty, DO

  • Internal Medicine Physician
  • Winnsboro, TX
  • NPI 1720280753

  Home health agency

  Care Compare affiliation
• Deanna Annette Shelton, NP

  • Primary Care Nurse Practitioner
  • Yantis, TX
  • NPI 1407465685

  Home health agency

  Care Compare affiliation
• Manavalan Singaperumal, MD

  • Internal Medicine Physician
  • Mount Pleasant, TX
  • NPI 1841376027

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1508009903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 PAIGE RD",
            "address_2": "SUITE 403",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562121",
            "telephone_number": "214-250-7744",
            "fax_number": "214-494-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HOUSTON ST N",
            "city": "MT VERNON",
            "state": "TX",
            "postal_code": "75457",
            "telephone_number": "903-270-6292",
            "fax_number": "903-201-6766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Paige Rd",
            "address_2": "Suite 403",
            "address_purpose": "LOCATION",
            "city": "The Colony",
            "state": "TX",
            "postal_code": "750562121",
            "country_code": "US",
            "telephone_number": "214-250-7744",
            "fax_number": "214-494-6232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY PLUS HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "PANICKER",
        "authorized_official_first_name": "RADHAKRISHNAN",
        "authorized_official_title_or_position": "ALT ADMINISTRATOR",
        "authorized_official_telephone_number": "214-455-8630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Mount Vernon, TX
• Providers in Mount Vernon, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.