Serenity Home Health of Utah LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY HOME HEALTH OF UTAH LLC

Practice address

627 W 4000 N
Pleasant Grove, UT 84062-8754

Phone

(801) 471-1965

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bret Jones

Title

Ceo

Phone

(801) 471-1965

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821858820. Details of each certification follow.

• CCN 467366 Home health agency · Active · Details

Home health agency certification: CCN 467366

Legal name

SERENITY HOME HEALTH OF UTAH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 17, 2024

Last certification

Sep 26, 2024

Organization structure

LLCProprietary

Incorporated

Mar 19, 2024 in UT

Enrollment address

627 W 4000 N
Pleasant Grove, UT 84062-8754

Listed as

Serenity Home Health of Utah LLCCCN 467366 · All quality measures

Ownership

-

Certified

Oct 17, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jackie Bringhurst, APRN

  • Family Nurse Practitioner
  • Salem, UT
  • NPI 1972172260

  Home health agency

  Care Compare affiliation
• Shylettera Davis, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lehi, UT
  • NPI 1144817446

  Home health agency

  Care Compare affiliation
• Michelle Shelley Harlene Hale-Byington, NP

  • Family Nurse Practitioner
  • Lehi, UT
  • NPI 1841050028

  Home health agency

  Care Compare affiliation
• Jamie Ann Romney, FNP-BC

  • Family Nurse Practitioner
  • Lehi, UT
  • NPI 1124997903

  Home health agency

  Care Compare affiliation
• Perla Cassayre Thulin, MD

  • Neurology Physician
  • Salt Lake City, UT
  • NPI 1902996531

  Home health agency

  Care Compare affiliation
• Cassidy Warren, APRN

  • Family Nurse Practitioner
  • Lehi, UT
  • NPI 1093503336

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1821858820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 W 4000 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840628754",
            "telephone_number": "801-471-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W 4000 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840628754",
            "telephone_number": "801-471-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME HEALTH OF UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-471-1965"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Schneider, MS, CCC-SLP
• Laura Schneider
• Rebecca Lynn Scott, SCHOOL PSYCHOLOGIST
• Terrika Scott
• Mary Elizabeth Seaquist
• Serenity Hospice of Utah LLC
• Kellie Shawcroft
• Amanda Sheilds
• Brooke Holly Shelton, FNP-BC
• Silva Counseling & Consulting LLC

• Home Health Agency in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Home Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.