NPIMap

Organization Active NPI

Serenity in Home Care,LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1891229779
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
LC9800049 Issued in MO
Legal business name
SERENITY IN HOME CARE,LLC
Practice address
1409 Washington Ave Ste 517
Saint Louis, MO 63103-1901
Phone
(314) 696-8960
Fax
(314) 696-8960
NPI assigned
Apr 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Mrs. Serita Marshall, RN
Title
Director
Phone
(314) 769-8401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X LC9800049 MO Primary

Addresses

Primary practice location

1409 Washington Ave Ste 517
Saint Louis, MO 63103-1901

Mailing address

1409 Washington Ave Ste 517
Saint Louis, MO 63103-1901
Phone (314) 696-8960

National Provider Directory

National Provider Directory

Locations

1409 Washington Ave
Ste 517
Saint Louis, MO 63103
Phone (314) 696-8960

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1891229779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 517",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031901",
            "telephone_number": "314-696-8960",
            "fax_number": "314-696-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 517",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031901",
            "telephone_number": "314-696-8960",
            "fax_number": "314-696-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY IN HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "SERITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-769-8401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "LC9800049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.