Serenity Home Care LLC

Key facts

NPI

1679967491

Entity type

Organization (NPI type 2)

Primary specialty

Adult Companion 372600000X

License

000786069 (TN)

Legal business name

SERENITY HOME CARE LLC

Practice address

111 Renee Dr
Bells, TN 38006-1100

Phone

(731) 501-9227

NPI assigned

Mar 19, 2015

Organization subpart

No

Authorized official

Name

Mrs. Jessica Michelle Foster, CNA

Title

Owner/Member

Phone

(731) 501-9227

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 19, 2015.

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1679967491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RENEE DR",
            "city": "BELLS",
            "state": "TN",
            "postal_code": "380061100",
            "telephone_number": "731-501-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RENEE DR",
            "city": "BELLS",
            "state": "TN",
            "postal_code": "380061100",
            "telephone_number": "731-501-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "731-501-9227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": "TN",
            "license": "000786069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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