1630 Serene Care Solutions

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

1630 SERENE CARE SOLUTIONS

Practice address

2662 Willow Glen Cir
Indianapolis, IN 46229-3659

Phone

(317) 441-7983

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Jermaine Reaves

Title

Ceo

Phone

(317) 441-7983

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1881455293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 WILLOW GLEN CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293659",
            "telephone_number": "317-441-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 WILLOW GLEN CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293659",
            "telephone_number": "317-441-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1630 SERENE CARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-441-7983"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Jan 22, 2024; 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.