Serenity Innovative Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY INNOVATIVE CARE AGENCY

Practice address

3108 N Parham Rd Ste 602a
Henrico, VA 23294-4417

Phone

(804) 250-9426

Fax

(804) 446-5915

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Tiffany Jeania RoachNPI 1942908967

Title

Adminstrator

Phone

(901) 603-7741

Specialties & licenses 2

Addresses

Other names 1

• serenity innovative care agency Doing business as

Locations

Practitioners 1

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

• Tiffany Jeania Roach, N/A

  • Phlebotomy Technician
  • Henrico, VA
  • NPI 1942908967
  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1801657341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S WASHINGTON HWY STE G7",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230052257",
            "telephone_number": "804-250-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 N PARHAM RD STE 602A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944417",
            "telephone_number": "804-250-9426",
            "fax_number": "804-446-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY INNOVATIVE CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "JEANIA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "901-603-7741"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "serenity innovative care agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "serenity innovative care agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phyllis Ann Seals
• Secure Service LLC
• Kassandra Sejas-Padilla
• Sayed Ahmad Shah Sekandary
• Lillian Senn
• Seven Superior Services, LLC
• James Edward Shadbolt, DPM
• Tushar C Shah, MD
• Avita Sharma
• Deandra Sharpe

• Home Health Agency in Henrico, VA
• Providers in Henrico, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.