Serenity Home Health L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY HOME HEALTH L.L.C.

Practice address

102 W Diamond Lake Rd Apt 224
Minneapolis, MN 55419-1875

Phone

(612) 388-3889

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Derrick Lee Roberts I

Title

President/Ceo

Phone

(612) 388-3889

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1538654967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W DIAMOND LAKE RD APT 224",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191875",
            "telephone_number": "612-388-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W DIAMOND LAKE RD APT 224",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191875",
            "telephone_number": "612-388-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME HEALTH L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "612-388-3889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Center LLC
• Serenity Counseling Clinic
• Serenity Counseling Services Inc
• Serenity Group Homes LLC
• Serenity Healthcare, Inc. (Serenity Healthcare Services)
• Serenity Housing Solutions LLC
• Serenity Housing Support LLC (Serenity Housing Support)
• Serenity Residential Services LLC
• Serenity Spings Care
• Serenity Wellness Inc

• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.