Serenity Health & Wellness LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2653L001

Legal business name

SERENITY HEALTH & WELLNESS LLC

Practice address

16030 78TH Ave
Fresh Meadows, NY 11366-1910

Phone

(718) 305-4888

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Sonny Pham

Title

President

Phone

(212) 786-2343

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1689152670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 78TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661910",
            "telephone_number": "718-305-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 78TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661910",
            "telephone_number": "718-305-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-786-2343"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "2653L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE HOME CARE AGENCY",
            "identifier": "2653L001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Schwarz, LMSW
• Joseph Scifo, LMT
• Blanca M Sckell, MD
• Ilana Segev
• Dongwha Seo
• Chana Setareh Shenas, RPH
• Yogesh Sethi
• Pinakini Shah, MD
• Ghulamullah Shahzad, MD
• Jamie Shakarov

• Home Health Agency in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.