Organization Active NPI

Serene Healthcare Services, LLC.

  • Home Health Agency
  • Englewood, OH
National Provider Identifier
1760909923
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENE HEALTHCARE SERVICES, LLC.
Practice address
4613 Cutlass Dr
Englewood, OH 45322-2515
Phone
(937) 248-6394
Fax
(937) 248-6394
NPI assigned
Aug 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Authorized official

Name
Mr. Clive Nkafu FomenkyNPI 1811284797
Title
Ceo
Phone
(937) 248-6394

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4613 Cutlass Dr
Englewood, OH 45322-2515

Mailing address

4613 Cutlass Dr
Englewood, OH 45322-2515

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1760909923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 CUTLASS DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 CUTLASS DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222515",
            "telephone_number": "937-248-6394",
            "fax_number": "937-248-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HEALTHCARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A",
        "authorized_official_last_name": "FOMENKY",
        "authorized_official_first_name": "CLIVE",
        "authorized_official_middle_name": "NKAFU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-248-6394",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.