NPIMap

Organization Active NPI

Serene Home Health Services

  • Home Health Agency
  • Dayton, OH
National Provider Identifier
1902407117
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENE HOME HEALTH SERVICES
Practice address
4812 Frederick Pike Ste 105
Dayton, OH 45414-3835
Phone
(937) 567-0638
Fax
(937) 567-0698
NPI assigned
Nov 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Mr. Ivo DegohNPI 1326301078
Title
Owner
Phone
(937) 567-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4812 Frederick Pike Ste 105
Dayton, OH 45414-3835

Mailing address

4812 Frederick Pike Ste 105
Dayton, OH 45414-3835
Phone (937) 567-0638

National Provider Directory

National Provider Directory

Locations

4812 Frederick Pike
Ste 105
Dayton, OH 45414
Phone (937) 567-0638

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1902407117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 FREDERICK PIKE STE 105",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143835",
            "telephone_number": "937-567-0638",
            "fax_number": "937-567-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 FREDERICK PIKE STE 105",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143835",
            "telephone_number": "937-567-0638",
            "fax_number": "937-567-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "DEGOH",
        "authorized_official_first_name": "IVO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-567-0638",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.