Organization Active NPI

Serenity Residential Care Home

  • Assisted Living Facility
  • Memphis, TN
National Provider Identifier
1508458365
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENITY RESIDENTIAL CARE HOME
Practice address
7307 Isherwood Rd
Memphis, TN 38125-2124
Phone
(901) 603-7741
NPI assigned
Feb 3, 2021
Last updated
Mar 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Ms. Tiffany Jeania Atkins
Title
Adminstrator
Phone
(901) 603-7741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7307 Isherwood Rd
Memphis, TN 38125-2124

Mailing address

5532 Emerald Hills Dr
Memphis, TN 38115-4616
Phone (901) 603-7741

Other practice location 1

3845 Viscount Ave Ste 305
Memphis, TN 38118-6024
Phone (901) 617-9350

National Provider Directory

National Provider Directory
Tax ID family
JJ Senior Transportation and Concierge SVC2 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.

Locations

3845 Viscount Ave
Ste 305
Memphis, TN 38118
Phone (901) 603-7741

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1508458365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 EMERALD HILLS DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154616",
            "telephone_number": "901-603-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 ISHERWOOD RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252124",
            "telephone_number": "901-603-7741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3845 Viscount Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381186024",
            "country_code": "US",
            "telephone_number": "901-617-9350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY RESIDENTIAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "JEANIA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "901-603-7741",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.