Serenity Heart LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY HEART LLC

Practice address

2816 Walnut Hill St
Phila, PA 19152-1503

Phone

(215) 554-7648

NPI assigned

Jul 11, 2019

Organization subpart

No

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

Authorized official

Name

Tia CookNPI 1063074284

Title

Ceo

Phone

(215) 554-7648

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tia Latosha Cook

  • Home Health Agency
  • Phila, PA
  • NPI 1063074284
  NPD (past) Authorized official

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1851943773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 WALNUT HILL ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191521503",
            "telephone_number": "215-469-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 WALNUT HILL ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191521503",
            "telephone_number": "215-554-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-554-7648"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Louis Segal, M.ED.
• Bruce J. Seiler, OD
• Hope Susan Selarnick, M.D.
• Corita R Selby, BS
• Julie M Seman, CRNP
• Ronald David Serota, M.D.
• Emil P Sfedu, M.D.
• Kantilal J. Shah, M.D.
• Tonya Shands
• Aaron Lee Shapiro, MD

• Home Health Agency in Phila, PA
• Providers in Phila, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.