Organization Active NPI

Serenity Home Care, LLC

  • In Home Supportive Care Agency
  • Nashville, TN
National Provider Identifier
1790548592
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY HOME CARE, LLC
Practice address
2805 Foster Ave Ste 200
Nashville, TN 37210-5341
Phone
(615) 873-1785
NPI assigned
Feb 5, 2024
Last updated
Feb 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Chigbomkpa S. Eziukw
Title
Director of Operations
Phone
(615) 873-1785

Specialties & licenses 1

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

Addresses

Primary practice location

2805 Foster Ave Ste 200
Nashville, TN 37210-5341

Mailing address

2805 Foster Ave Ste 200
Nashville, TN 37210-5341
Phone (615) 873-1785

National Provider Directory

National Provider Directory

Locations

2805 Foster Ave
Ste 200
Nashville, TN 37210
Phone (615) 873-1785

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1790548592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 FOSTER AVE STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372105341",
            "telephone_number": "615-873-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 FOSTER AVE STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372105341",
            "telephone_number": "615-873-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "EZIUKW",
        "authorized_official_first_name": "CHIGBOMKPA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "615-873-1785"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.