Active NPI
Serenity Senior Care
- Home Health Agency
- Bloomfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SERENITY SENIOR CARE
- Practice address
- 20 Stone St
Bloomfield, NJ 07003-4034 - Phone
- (973) 338-0124
- Fax
- (973) 338-0080
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Wanda E Ince
- Title
- General Partner
- Phone
- (973) 338-0124
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
20 Stone St
Bloomfield, NJ 07003-4034
Mailing address
2 Broad St Ste 208
Bloomfield, NJ 07003-2548
Phone (973) 338-0124
Other practice location 1
2 Broad St Ste 208
Bloomfield, NJ 07003-2548
Phone (973) 338-0124
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2150960 | Serenity Senior Care, LLC | Certificate of waiver | Jul 8, 2026 |
National Provider Directory
National Provider DirectoryLocations
2 Broad St
Ste 208
Bloomfield, NJ 07003
Phone (973) 338-0124
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Bloomfield, NJ
- NPI 1821823402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1811106925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BROAD ST STE 208",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032548",
"telephone_number": "973-338-0124",
"fax_number": "973-338-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 STONE ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070034034",
"telephone_number": "973-338-0124",
"fax_number": "973-338-0080"
}
],
"practiceLocations": [
{
"address_1": "2 Broad St Ste 208",
"address_purpose": "LOCATION",
"city": "Bloomfield",
"state": "NJ",
"postal_code": "070032548",
"country_code": "US",
"telephone_number": "973-338-0124",
"fax_number": "973-338-0080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SERENITY SENIOR CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "INCE",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "973-338-0124",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.