Organization Active NPI

Serenity Home Health Care LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1902243900
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
LC1314718 Issued in MO
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

Updated by the provider on Jun 12, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.