Active NPI
Serenity Primary Home Care LLC
- Home Health Agency
- San Antonio, TX
National Provider Identifier
1700398294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SERENITY PRIMARY HOME CARE LLC
- Practice address
- 21922 Goldcrest Run
San Antonio, TX 78260-3537 - Phone
- (210) 867-8817
- NPI assigned
- Oct 24, 2017
- 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
- Michele Stiehl-Guerra
- Title
- Administrator
- Phone
- (210) 867-8817
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
21922 Goldcrest Run
San Antonio, TX 78260-3537
Mailing address
21922 Goldcrest Run
San Antonio, TX 78260-3537
Phone (210) 867-8817
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508803200000",
"number": "1700398294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21922 GOLDCREST RUN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782603537",
"telephone_number": "210-867-8817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21922 GOLDCREST RUN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782603537",
"telephone_number": "210-867-8817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY PRIMARY HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-24",
"last_updated": "2017-10-24",
"status": "A",
"authorized_official_last_name": "STIEHL-GUERRA",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "210-867-8817"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.