Organization Active NPI

Serenity Senior Care

  • Home Health Agency
  • Bloomfield, NJ
National Provider Identifier
1811106925
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Ms. Wanda E InceNPI 1821823402
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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2150960Serenity Senior Care, LLC2 Broad Street, Bloomfield, NJ 07003Certificate of waiverJul 8, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.