Active NPI
Serenity Home Health Care LLC
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1902243900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- LC1314718
- Legal business name
- SERENITY HOME HEALTH CARE LLC
- Practice address
- 11130 Michelham Dr
Ste. K
Saint Louis, MO 63136-6404 - Phone
- (314) 359-5542
- NPI assigned
- May 30, 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
- Tiara Rochelle White
- Title
- Designated Manager
- Phone
- (314) 359-5542
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | LC1314718 | MO | Primary |
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
11130 Michelham Dr
Ste. K
Saint Louis, MO 63136-6404
Mailing address
11130 Michelham Dr
Ste. K
Saint Louis, MO 63136-6404
Phone (314) 359-5542
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370995200000",
"number": "1902243900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11130 MICHELHAM DR",
"address_2": "STE. K",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366404",
"telephone_number": "314-359-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11130 MICHELHAM DR",
"address_2": "STE. K",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366404",
"telephone_number": "314-359-5542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-30",
"last_updated": "2013-06-12",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "TIARA",
"authorized_official_middle_name": "ROCHELLE",
"authorized_official_title_or_position": "DESIGNATED MANAGER",
"authorized_official_telephone_number": "314-359-5542"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "LC1314718",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.