Organization Active NPI

Serenity Home Care, LLC

  • Home Health Agency
  • Chesterfield, VA
National Provider Identifier
1861820391
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1276591 Issued in VA
Legal business name
SERENITY HOME CARE, LLC
Practice address
9510 Iron Bridge Rd
210
Chesterfield, VA 23832-6400
Phone
(804) 318-1591
Fax
(866) 597-1700
NPI assigned
Oct 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Ivori Campbell
Title
Ceo/Owner
Phone
(804) 318-1591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1276591 VA Primary

Addresses

Primary practice location

9510 Iron Bridge Rd
210
Chesterfield, VA 23832-6400

Mailing address

9510 Iron Bridge Rd
210
Chesterfield, VA 23832-6400
Phone (804) 318-1591

National Provider Directory

National Provider Directory

Locations

9510 Iron Bridge Rd
Ste 210
Chesterfield, VA 23832
Phone (804) 318-1591

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1861820391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 IRON BRIDGE RD",
            "address_2": "210",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326400",
            "telephone_number": "804-318-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 IRON BRIDGE RD",
            "address_2": "210",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326400",
            "telephone_number": "804-318-1591",
            "fax_number": "866-597-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "IVORI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "804-318-1591"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "1276591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.