Organization Active NPI

Serenity Services Agency LLC

  • In Home Supportive Care Agency
  • Saint Paul, MN
National Provider Identifier
1619763828
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY SERVICES AGENCY LLC
Practice address
1821 University Ave W Ste 147
Saint Paul, MN 55104-8906
Phone
(224) 435-3979
NPI assigned
Apr 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Ayowale Alao
Title
Owner, President
Phone
(224) 435-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1821 University Ave W Ste 147
Saint Paul, MN 55104-8906

Mailing address

1821 University Ave W Ste 147
Saint Paul, MN 55104-8906
Phone (224) 435-3979

National Provider Directory

National Provider Directory

Locations

1821 University Ave W
Ste 147
Saint Paul, MN 55104
Phone (224) 435-3979

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1619763828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 147",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551048906",
            "telephone_number": "224-435-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 147",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551048906",
            "telephone_number": "224-435-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SERVICES AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "ALAO",
        "authorized_official_first_name": "AYOWALE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "224-435-3979"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.