Serenity Home Health Care CDS, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY HOME HEALTH CARE CDS, LLC

Practice address

3159 Fee Fee Rd
Suite 203
Bridgeton, MO 63044-3299

Phone

(314) 261-6126

Fax

(314) 222-3568

NPI assigned

Mar 22, 2017

Last updated

Mar 22, 2017By 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. Deandre HorneNPI 1881131993

Title

Ceo

Phone

(314) 261-6126

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deandre Horne

  • Contractor
  • Bridgeton, MO
  • NPI 1881131993
  NPD (past) Authorized official

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1528599420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 FEE FEE RD",
            "address_2": "SUITE 203",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443299",
            "telephone_number": "314-261-6126",
            "fax_number": "314-222-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 FEE FEE RD",
            "address_2": "SUITE 203",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443299",
            "telephone_number": "314-261-6126",
            "fax_number": "314-222-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME HEALTH CARE CDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "DEANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-261-6126",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Seal, DPT
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• Home Health Agency in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.