NPIMap

Organization Active NPI

Serenity Homecare, LLC

  • In Home Supportive Care Agency
  • Hayti, MO
National Provider Identifier
1740592484
Registry record updated Mar 20, 2014
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Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
LC1044991 Issued in MO
Legal business name
SERENITY HOMECARE, LLC
Practice address
208 S 3Rd St
Hayti, MO 63851-1618
Phone
(573) 724-4616
Fax
(573) 724-4611
NPI assigned
Jul 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Ms. Laura Nicole Smith
Title
Co-Owner/Biller
Phone
(573) 724-4616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X LC1044991 MO Primary

Addresses

Primary practice location

208 S 3Rd St
Hayti, MO 63851-1618

Mailing address

208 S 3Rd St
Hayti, MO 63851-1618
Phone (573) 724-4616

National Provider Directory

National Provider Directory

Locations

208 S 3rd St
Hayti, MO 63851
Phone (573) 724-4616

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1740592484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S 3RD ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511618",
            "telephone_number": "573-724-4616",
            "fax_number": "573-724-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S 3RD ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511618",
            "telephone_number": "573-724-4616",
            "fax_number": "573-724-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CO-OWNER/BILLER",
        "authorized_official_telephone_number": "573-724-4616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "LC1044991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayti, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.