Active NPI
Serenity Home Hospice LLC
- Community Based Hospice Care Agency
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SERENITY HOME HOSPICE LLC
- Practice address
- 1711 Monroe St
Dearborn, MI 48124-2914 - Phone
- (313) 562-9100
- NPI assigned
- Jul 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khalid Zakaria
- Title
- Owner
- Phone
- (313) 562-9100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1711 Monroe St
Dearborn, MI 48124-2914
Mailing address
1391 E 12 Mile Rd
Madison Heights, MI 48071-2914
Phone (313) 551-5025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230516002074 | MI | Part A Provider - Hospice | 4981060001 | Practice locations: Dearborn, MI |
Hospice certification: CCN 231716
- Legal name
- SERENITY HOME HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 20, 2024
- Last certification
- Dec 22, 2023
- Organization structure
- LLC
- Incorporated
- Jun 30, 2022 in MI
- Enrollment address
- 1711 Monroe St
Dearborn, MI 48124-2914
Care Compare: Hospice
Medicare Care Compare- Listed as
- Serenity Home Hospice, LLC
- Certified
- Jan 20, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2280921 | Serenity Hospice | Certificate of waiver | Apr 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
1391 E 12 Mile Rd
Madison Heights, MI 48071
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Khalid Sabah Zakaria | 5% Or Greater Direct Ownership Interest | Jun 30, 2022 | 100% |
| Corporate Director | Jun 30, 2022 | 100% | |
| Operational/Managerial Control | Jun 30, 2022 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1033101084
5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1033101084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751241600000",
"number": "1649904830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1391 E 12 MILE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480712914",
"telephone_number": "313-551-5025",
"fax_number": "313-451-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242914",
"telephone_number": "313-562-9100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY HOME HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-13",
"last_updated": "2025-06-30",
"certification_date": "2025-06-09",
"status": "A",
"authorized_official_last_name": "ZAKARIA",
"authorized_official_first_name": "KHALID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-562-9100"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.