Organization Active NPI

Serenity TLC Home Care LLC

  • In Home Supportive Care Agency
  • Watsonville, CA
National Provider Identifier
1821620386
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY TLC HOME CARE LLC
Practice address
310 Hathaway Ave
Watsonville, CA 95076-0970
Phone
(831) 524-6315
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Candie Rodgers
Title
Owner/Ceo
Phone
(831) 524-6315

Specialties & licenses 1

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

Addresses

Primary practice location

310 Hathaway Ave
Watsonville, CA 95076-0970

Mailing address

310 Hathaway Ave
Watsonville, CA 95076-0970
Phone (831) 524-6315

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1821620386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HATHAWAY AVE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950760970",
            "telephone_number": "831-524-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HATHAWAY AVE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950760970",
            "telephone_number": "831-524-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY TLC HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "CANDIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "831-524-6315"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.