NPIMap

Organization Active NPI

Serenity Homecare Agency 1

  • Home Health Agency
  • Miramar Beach, FL
National Provider Identifier
1548097876
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 1
Practice address
495 Grand Blvd Ste 206
Miramar Beach, FL 32550-1897
Phone
(850) 900-7869
NPI assigned
Sep 19, 2024
Last updated
Oct 7, 2024By the provider in NPPES
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 JonesNPI 1972140002
Title
Ceo
Phone
(850) 815-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

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

Mailing address

495 Grand Blvd Ste 206
Miramar Beach, FL 32550-1897
Phone (850) 900-7869

National Provider Directory

National Provider Directory
Tax ID family
Serenity Homecare Agency Inc3 organizations share this tax ID, including this one
Part of
Serenity Homecare Agency Inc

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.

Practitioners & affiliated clinicians

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.

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": "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": []
}

Other providers in Miramar Beach, 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.