Serene Companion Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SERENE COMPANION HOMECARE LLC

Practice address

350 Monterey St
Highland Park, MI 48203-3424

Phone

(313) 923-7671

NPI assigned

Dec 4, 2024

Organization subpart

No

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

Authorized official

Name

Aiyanna SmithNPI 1740006253

Title

Ceo

Phone

(313) 923-7671

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aiyanna Smith

  • In Home Supportive Care Agency
  • Detroit, MI
  • NPI 1740006253
  NPD Authorized official

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1609682764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MONTEREY ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033424",
            "telephone_number": "313-923-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MONTEREY ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033424",
            "telephone_number": "313-923-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE COMPANION HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AIYANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-923-7671"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Specialized Room & Board
• Savannah Specialized Room & Board Inc.
• Second Chance 2000 Inc.
• Second Chance 2000 Inc.
• Darryl Seldon
• Donald R Simmons
• Joel Simmons
• Laconstance M Simmons, APRN PMHNP-BC
• Lashana D Simpson, CNA
• Sharnica Simpson, FNP-BC

• In Home Supportive Care Agency in Highland Park, MI
• Providers in Highland Park, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.