Organization Active NPI

Serenity Home Medical, LLC

  • Oxygen Equipment & Supplies (DME)
  • Elkhart, IN
National Provider Identifier
1891311742
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SERENITY HOME MEDICAL, LLC
Doing business as
Serenity Home Medical LLC
Practice address
1750 Kilbourn St
Elkhart, IN 46514-1920
Phone
(574) 327-2357
Fax
(574) 235-6991
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Jessica Rhea Shepperson
Title
Manager
Phone
(574) 327-2357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

1750 Kilbourn St
Elkhart, IN 46514-1920

Mailing address

1710 Leer Dr Ste a
Elkhart, IN 46514-5446
Phone (574) 327-2357

Other names 2

  • Serenity Home Medical LLC Doing business as
  • Psychiatric Services, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1710 Leer Dr
Ste A
Elkhart, IN 46514

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1891311742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 LEER DR STE A",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465145446",
            "telephone_number": "574-327-2357",
            "fax_number": "574-235-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 KILBOURN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141920",
            "telephone_number": "574-327-2357",
            "fax_number": "574-235-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "SHEPPERSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RHEA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "574-327-2357"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Home Medical LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Psychiatric Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Psychiatric Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.