Organization Active NPI

Serenity Personal Care LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1679110712
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY PERSONAL CARE LLC
Practice address
3311 S Rainbow Blvd Ste 131
Las Vegas, NV 89146-6208
Phone
(702) 686-8757
NPI assigned
Dec 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Authorized official

Name
Lorita Tanahan
Title
Owner
Phone
(702) 686-8757

Specialties & licenses 1

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

Addresses

Primary practice location

3311 S Rainbow Blvd Ste 131
Las Vegas, NV 89146-6208

Mailing address

3311 S Rainbow Blvd Ste 131
Las Vegas, NV 89146-6208

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL serenitypersonalcarelv@gmail.com

National Provider Directory

National Provider Directory
Tax ID family
Serenity Personal Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3311 S Rainbow Blvd
Ste 131
Las Vegas, NV 89146
Phone (702) 213-9042

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1679110712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 131",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 131",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466208",
            "telephone_number": "702-686-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "TANAHAN",
        "authorized_official_first_name": "LORITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-686-8757"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "serenitypersonalcarelv@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "3311 S Rainbow Blvd Ste 131",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891466208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.