Organization Active NPI

Blue Serenus Ventures LLC

  • In Home Supportive Care Agency
  • Antioch, TN
National Provider Identifier
1881513893
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLUE SERENUS VENTURES LLC
Practice address
5380 Hickory Hollow Pkwy Ste 200
Antioch, TN 37013-3117
Phone
(855) 202-0141
NPI assigned
Jul 13, 2026
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Kendra Shanklin
Title
Owner
Phone
(855) 202-0141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5380 Hickory Hollow Pkwy Ste 200
Antioch, TN 37013-3117

Mailing address

5380 Hickory Hollow Pkwy Ste 200
Antioch, TN 37013-3117
Phone (855) 202-0141

National Provider Directory

National Provider Directory

Locations

5380 Hickory Hollow Pkwy
Ste 200
Antioch, TN 37013

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1881513893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 HICKORY HOLLOW PKWY STE 200",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133117",
            "telephone_number": "855-202-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 HICKORY HOLLOW PKWY STE 200",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133117",
            "telephone_number": "855-202-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SERENUS VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "SHANKLIN",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-202-0141"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.