Serenity Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY HOME HEALTH LLC

Practice address

5059 S Lakewood Rd
Fort Mohave, AZ 86426-6501

Phone

(928) 788-0027

NPI assigned

Mar 20, 2024

Last updated

Mar 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Hassett

Title

Ceo

Phone

(928) 788-0027

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1629838495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5059 S LAKEWOOD RD",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 S LAKEWOOD RD",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266501",
            "telephone_number": "928-788-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "HASSETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-788-0027"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.