Serenity Homecare Agency 1

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY HOMECARE AGENCY 1

Practice address

495 Grand Blvd Ste 206
Miramar Beach, FL 32550-1897

Phone

(850) 900-7869

NPI assigned

Sep 19, 2024

Organization subpart

Yes

Parent organization

SERENITY HOMECARE AGENCY, INCAs reported in NPPES

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

Authorized official

Name

Estelle Jones

Title

Ceo

Phone

(850) 815-5900

Specialties & licenses 1

Addresses

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.

• Serenity Homecare Agency 3

  • Home Health Agency
  • Gainesville, FL
  • NPI 1518794841
  NPD tax ID
• Serenity Homecare Agency, Inc

  • In Home Supportive Care Agency
  • Tallahassee, FL
  • NPI 1437783693
  NPD tax ID

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.

• Serenity Homecare Agency, Inc

  • In Home Supportive Care Agency
  • Tallahassee, FL
  • NPI 1437783693
  NPPES parent name

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": "1548097876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 GRAND BLVD STE 206",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501897",
            "telephone_number": "850-900-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 GRAND BLVD STE 206",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501897",
            "telephone_number": "850-900-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOMECARE AGENCY 1",
        "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": "850-815-5900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Home Health Agency in Florida

• 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.