Organization Active NPI

Serenity Comfort Care & Family Services

  • Home Health Agency
  • Rockaway Park, NY
National Provider Identifier
1902460843
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY COMFORT CARE & FAMILY SERVICES
Practice address
226 Beach 98TH St # 3
Rockaway Park, NY 11694-2849
Phone
(718) 569-0508
Fax
(833) 318-2368
NPI assigned
Apr 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Kimberly L Jenkins I, HOME HEALTH CARENPI 1285298463
Title
Owner
Phone
(718) 559-0508

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

226 Beach 98TH St # 3
Rockaway Park, NY 11694-2849

Mailing address

226 Beach 98TH St # 3
Rockaway Park, NY 11694-2849
Phone (718) 569-0508

Other identifiers 1

IdentifierTypeStateIssuer
708258455MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1902460843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 BEACH 98TH ST # 3",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942849",
            "telephone_number": "718-569-0508",
            "fax_number": "833-318-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 BEACH 98TH ST # 3",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942849",
            "telephone_number": "718-569-0508",
            "fax_number": "833-318-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COMFORT CARE & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-559-0508",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "HOME HEALTH CARE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "708258455",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.