Active NPI
Serenity Home Care, LLC
- Home Health Agency
- Chesterfield, VA
National Provider Identifier
1861820391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1276591
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.