Serenity Caregivers LLC

Primary specialty

Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X

License

385H0000X Issued in AL

Legal business name

SERENITY CAREGIVERS LLC

Practice address

1102 4TH Ave SE Ste B
Decatur, AL 35601-4002

Phone

(256) 822-1300

NPI assigned

Jul 11, 2016

Last updated

Jul 11, 2016By 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

Beronica Denise GoodwinNPI 1497208250

Title

LPN/Ceo

Phone

(256) 345-9753

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beronica Goodwin

  • Licensed Practical Nurse
  • Decatur, AL
  • NPI 1497208250
  NPD (past) Authorized official

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1851743181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 SEWELL RD",
            "city": "TRINITY",
            "state": "AL",
            "postal_code": "356736625",
            "telephone_number": "256-345-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 4TH AVE SE STE B",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014002",
            "telephone_number": "256-822-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CAREGIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "BERONICA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "LPN/CEO",
        "authorized_official_telephone_number": "256-345-9753"
    },
    "taxonomies": [
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": "AL",
            "license": "385H0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Jane Sebesta, LICSW
• Dennis Sehgal, MD
• Emma Seitz
• Adnan A Seljuki, MD
• Jason W Selman, D.M.D.
• Set Apart Pediatrics LLC (Set Apart Pediatrics)
• Julie M Sexton, CRNP
• Angela Shadden, MA, LPC
• Heather Rakesh Shah, MD
• John A Shannon, M.D.

• Religious Nonmedical Health Care Institution in Decatur, AL
• Providers in Decatur, AL by specialty
• Religious Nonmedical Health Care Institution in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.