Organization Active NPI

Reclaim Serenity Senior Living LLC

  • In Home Supportive Care Agency
  • Roseville, MI
National Provider Identifier
1962215731
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RECLAIM SERENITY SENIOR LIVING LLC
Practice address
20415 Erin St # 148
Roseville, MI 48066-4535
Phone
(248) 234-1063
NPI assigned
Jan 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Ms. Phyllencia Gerea McCaskillNPI 1255144010
Title
Owner
Phone
(248) 234-1063

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

20415 Erin St # 148
Roseville, MI 48066-4535

Mailing address

20415 Erin St # 148
Roseville, MI 48066-4535
Phone (248) 234-1063

National Provider Directory

National Provider Directory

Locations

20415 Erin St
#148
Roseville, MI 48066
Phone (248) 234-1063

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": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1962215731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20415 ERIN ST # 148",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664535",
            "telephone_number": "248-234-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20415 ERIN ST # 148",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664535",
            "telephone_number": "248-234-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECLAIM SERENITY SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "MCCASKILL",
        "authorized_official_first_name": "PHYLLENCIA",
        "authorized_official_middle_name": "GEREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-234-1063",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.