Organization Active NPI

Serene Home Care LLC

Doing business as Serene Home Care

  • Home Health Agency
  • Merrillville, IN
National Provider Identifier
1902644933
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENE HOME CARE LLC
Doing business as
Serene Home Care
Practice address
990 W 73Rd Ave
Merrillville, IN 46410-3814
Phone
(219) 271-7428
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Ms. Tiffany Tashaw Bowling, NURSE PRACTITIONERNPI 1831996297
Title
Ceo
Phone
(219) 271-7428

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

990 W 73Rd Ave
Merrillville, IN 46410-3814

Mailing address

990 W 73Rd Ave
Merrillville, IN 46410-3814
Phone (219) 271-7428

Other names 1

  • Serene Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

3526 169th St
Ste 5
Hammond, IN 46323

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": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1902644933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 W 73RD AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103814",
            "telephone_number": "219-271-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 W 73RD AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103814",
            "telephone_number": "219-271-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "TASHAW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-271-7428",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serene Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.