Serenity Personal Care Services LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

SERENITY PERSONAL CARE SERVICES LLC

Practice address

510 W Gaines St
Monticello, AR 71655-4638

Phone

(870) 224-8051

NPI assigned

Sep 25, 2019

Last updated

Mar 22, 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

Mrs. Denise Yvonne Courtney

Title

Member

Phone

(870) 723-9049

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1649821240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716570752",
            "telephone_number": "870-723-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W GAINES ST",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554638",
            "telephone_number": "870-224-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PERSONAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "870-723-9049",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 22, 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.