Organization Active NPI

Serenity Home Care

  • Home Health Agency
  • Meridian, MS
National Provider Identifier
1811603434
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY HOME CARE
Practice address
1902 Front St Ste 17
Meridian, MS 39301-5234
Phone
(601) 686-0947
NPI assigned
Jan 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Gwendolyn Hampton
Title
Director/Owner
Phone
(601) 686-0947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1902 Front St Ste 17
Meridian, MS 39301-5234

Mailing address

1902 Front St Ste 17
Meridian, MS 39301-5234
Phone (601) 686-0947

Other names 1

  • Serenity Home Care Other name

National Provider Directory

National Provider Directory

Locations

1902 Front St
Ste 17
Meridian, MS 39301
Phone (601) 686-0947

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1811603434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 FRONT ST STE 17",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015234",
            "telephone_number": "601-686-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 FRONT ST STE 17",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015234",
            "telephone_number": "601-686-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "601-686-0947"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Serenity Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.