NPIMap

Organization Active NPI

Serenity Homecare Agency 3

  • Home Health Agency
  • Gainesville, FL
National Provider Identifier
1518794841
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY HOMECARE AGENCY 3
Practice address
802 NW 16TH Ave Ste B
Gainesville, FL 32601-4012
Phone
(850) 900-7869
NPI assigned
Sep 19, 2024
Organization subpart
Yes
Parent organization
SERENITY HOMECARE AGENCY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Estelle Jones
Title
Ceo
Phone
(904) 320-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

802 NW 16TH Ave Ste B
Gainesville, FL 32601-4012

Mailing address

802 NW 16TH Ave Ste B
Gainesville, FL 32601-4012
Phone (850) 900-7869

National Provider Directory

National Provider Directory
Tax ID family
Serenity Homecare Agency 33 organizations share this tax ID, including this one
Part of
Serenity Homecare Agency 3

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1518794841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 NW 16TH AVE STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014012",
            "telephone_number": "850-900-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 NW 16TH AVE STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014012",
            "telephone_number": "850-900-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOMECARE AGENCY 3",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERENITY HOMECARE AGENCY, INC",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-320-1999"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.