Organization Active NPI

House of Serinity

  • Home Health Agency
  • Montgomery, AL
National Provider Identifier
1902620610
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOUSE OF SERINITY
Practice address
4076 Bonfield Dr
Montgomery, AL 36116-4838
Phone
(334) 655-4175
NPI assigned
Nov 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Authorized official

Name
Lakisha Edwards
Title
Executive Director
Phone
(334) 655-4175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4076 Bonfield Dr
Montgomery, AL 36116-4838

Mailing address

4001 Bonfield CT
Montgomery, AL 36116-4819
Phone (334) 655-4175

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1902620610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 BONFIELD CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164819",
            "telephone_number": "334-655-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 BONFIELD DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164838",
            "telephone_number": "334-655-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF SERINITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-655-4175"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.