Organization Active NPI

Serenity Estates, LLC

  • In Home Supportive Care Agency
  • Florissant, MO
National Provider Identifier
1528580271
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY ESTATES, LLC
Practice address
4118 7 Hills Dr
Florissant, MO 63033-6708
Phone
(314) 269-6049
NPI assigned
Jul 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Patricia Moncrief
Title
Owner
Phone
(314) 269-6049

Specialties & licenses 1

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

Addresses

Primary practice location

4118 7 Hills Dr
Florissant, MO 63033-6708

Mailing address

1009 Hopedale Dr
Saint Louis, MO 63137-1712
Phone (314) 269-6049

Other practice location 1

2152 Sun Valley Dr
St louis, MO 63136
Phone (314) 269-6049

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1528580271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 HOPEDALE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631371712",
            "telephone_number": "314-269-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 7 HILLS DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336708",
            "telephone_number": "314-269-6049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2152 Sun Valley Dr",
            "address_purpose": "LOCATION",
            "city": "St louis",
            "state": "MO",
            "postal_code": "63136",
            "country_code": "US",
            "telephone_number": "314-269-6049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY ESTATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MONCRIEF",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-269-6049"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.