Organization Active NPI

Serenity Home Health Care of Northeast Michigan

  • Home Health Agency
  • West Branch, MI
National Provider Identifier
1588075428
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY HOME HEALTH CARE OF NORTHEAST MICHIGAN
Practice address
222 E Houghton Ave
West Branch, MI 48661-1177
Phone
(989) 343-6955
Fax
(989) 343-6959
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Heather M Dack, LBSW
Title
Ownder
Phone
(989) 343-6955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

222 E Houghton Ave
West Branch, MI 48661-1177

Mailing address

222 E Houghton Ave
West Branch, MI 48661-1177
Phone (989) 343-6955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1588075428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611177",
            "telephone_number": "989-343-6955",
            "fax_number": "989-343-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611177",
            "telephone_number": "989-343-6955",
            "fax_number": "989-343-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME HEALTH CARE OF NORTHEAST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "DACK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "989-343-6955",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.