Serenity Specialized Afc Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY SPECIALIZED AFC INC

Practice address

1012 Meadowbrook St
Inkster, MI 48141-1929

Phone

(313) 782-2804

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Kimberley Fowler

Title

Owner

Phone

(313) 782-2804

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1720848864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 MEADOWBROOK ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411929",
            "telephone_number": "313-782-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MEADOWBROOK ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411929",
            "telephone_number": "313-782-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SPECIALIZED AFC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-782-2804"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sanders, DPT
• Tracy Renee Sanders, RDH
• Ann M Schneider, RDH
• Norma Renee Schropshire, DSW, LMSW
• Alyssa Selasky, LMSW, LCSW
• Lisa Marie Sessions
• Ayda Shahien
• Monieshia Shelby, B.A
• Carter Sherman
• Autumn Shorter

• Home Health Agency in Inkster, MI
• Providers in Inkster, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.