Organization Active NPI

Serenity Caregivers Services LLC

  • In Home Supportive Care Agency
  • Davenport, FL
National Provider Identifier
1922810704
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY CAREGIVERS SERVICES LLC
Practice address
815 Mahogany Ridge Dr
Davenport, FL 33897-3529
Phone
(863) 204-9782
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Betty Hanley
Title
Owner
Phone
(863) 204-9782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

815 Mahogany Ridge Dr
Davenport, FL 33897-3529

Mailing address

815 Mahogany Ridge Dr
Davenport, FL 33897-3529

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1922810704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 MAHOGANY RIDGE DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338973529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 MAHOGANY RIDGE DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338973529",
            "telephone_number": "863-204-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CAREGIVERS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-204-9782"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.