Organization Active NPI

Serenity Home Health Care System Inc

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1720316433
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY HOME HEALTH CARE SYSTEM INC
Practice address
400 Selby Ave Ste M
Saint Paul, MN 55102-4520
Phone
(651) 493-4536
Fax
(651) 493-4868
NPI assigned
Nov 19, 2009
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Khadir Tababouanga AlbertNPI 1437832458
Title
Owner/President
Phone
(952) 210-4481

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU
Homemaker 376J00000X NU
Respite Care 385H00000X NU
Home Health Registered Nurse 163WH0200X NU

Addresses

Primary practice location

400 Selby Ave Ste M
Saint Paul, MN 55102-4520

Mailing address

400 Selby Ave Ste M
Saint Paul, MN 55102-4520
Phone (651) 493-4536

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2340391Serenity Home Health Care System Inc400 Selby Ave, Suite M, Saint Paul, MN 55102Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Locations

400 Selby Ave
Ste M
Saint Paul, MN 55102
Phone (651) 493-4536

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1720316433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SELBY AVE STE M",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024520",
            "telephone_number": "651-493-4536",
            "fax_number": "651-493-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SELBY AVE STE M",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024520",
            "telephone_number": "651-493-4536",
            "fax_number": "651-493-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME HEALTH CARE SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "KHADIR",
        "authorized_official_middle_name": "TABABOUANGA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "952-210-4481"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.