Serenity Home Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SERENITY HOME MEDICAL, LLC

Practice address

14500 State Road 23 Ste 6
Granger, IN 46530-5632

Phone

(574) 327-2357

Fax

(574) 235-6991

NPI assigned

Oct 6, 2022

Organization subpart

No

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

Authorized official

Name

Abdul M Malik

Title

Member/ Manager

Phone

(574) 296-6556

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1902521552",
    "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": "14500 STATE ROAD 23 STE 6",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305632",
            "telephone_number": "574-327-2357",
            "fax_number": "574-235-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER/ MANAGER",
        "authorized_official_telephone_number": "574-296-6556"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley J Scott, MD
• Kari Lea Sculati, FNP-BC
• Elizabeth Selge, SLP
• Bobbie Bates Seng, PT
• Senior Care of Northern Indiana LLC
• Serenity Homecare Services
• Mark D. Shafer, DDS
• Cynthia Marie Shepherd, LCSW
• Kara Shrider
• Simmons Chiropractic Clinic, LLC

• Durable Medical Equipment & Medical Supplies in Granger, IN
• Providers in Granger, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.