A Serene Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A SERENE SERVICES LLC

Practice address

8553 Argyle Business Loop Ste 5E
Jacksonville, FL 32244-6604

Phone

(904) 446-8740

NPI assigned

Sep 28, 2020

Last updated

Sep 28, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

-As reported in NPPES

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

Authorized official

Name

Judy Simmons

Title

Administrator

Phone

(904) 235-5769

Specialties & licenses 1

Addresses

Part of

A Serene Services LLC

Locations

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1861009359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8553 ARGYLE BUSINESS LOOP STE 5E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446604",
            "telephone_number": "904-446-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8553 ARGYLE BUSINESS LOOP STE 5E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446604",
            "telephone_number": "904-446-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SERENE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-235-5769"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.