Organization Active NPI

Serenity One Home Healthcare PLLC

Doing business as Serenity one

  • Home Health Agency
  • Memphis, TN
National Provider Identifier
1609385087
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1000000020581 Issued in TN
Legal business name
SERENITY ONE HOME HEALTHCARE PLLC
Doing business as
Serenity one
Practice address
2555 Calvert Ave Apt 3
Memphis, TN 38108-1627
Phone
(901) 801-7621
NPI assigned
Sep 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Andrea D Perry, HOME HEALTH CARE LIC
Title
Ceo
Phone
(901) 801-7621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1000000020581 TN Primary

Addresses

Primary practice location

2555 Calvert Ave Apt 3
Memphis, TN 38108-1627

Mailing address

2555 Calvert Ave Apt 3
Memphis, TN 38108-1627
Phone (901) 801-7621

Other names 1

  • Serenity one Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609385087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 CALVERT AVE APT 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381081627",
            "telephone_number": "901-801-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 CALVERT AVE APT 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381081627",
            "telephone_number": "901-801-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ONE HOME HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-801-7621",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HOME HEALTH CARE LIC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "1000000020581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity one",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.