Organization Active NPI

Serenity Care Home Health Services Inc

  • Home Health Agency
  • Fresno, TX
National Provider Identifier
1962559146
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009539 Issued in TX
Legal business name
SERENITY CARE HOME HEALTH SERVICES INC
Practice address
1903 Thistlecreek CT
Fresno, TX 77545-7518
Phone
(281) 431-6763
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Soledad Gay
Title
Administrator President
Phone
(281) 431-6763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009539 TX Primary

Addresses

Primary practice location

1903 Thistlecreek CT
Fresno, TX 77545-7518

Mailing address

1903 Thistlecreek CT
Fresno, TX 77545-7518
Phone (281) 431-6763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220000611 TX Part A Provider - Home Health Agency 9739146911 Practice locations: Fresno, TX

Home health agency certification: CCN 457913

Legal name
SERENITY CARE HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 2, 2005
Last certification
May 14, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 13, 2004 in TX
Enrollment address
1903 Thistlecreek CT
Fresno, TX 77545-7518

Care Compare: Home health agency

Medicare Care Compare
Listed as
Serenity Care Home Health Services IncCCN 457913
Ownership
Proprietary
Certified
Nov 2, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1035590Serenity Care Home Health Services Inc1903 Thistlecreek Court, Fresno, TX 77545Certificate of waiverJan 5, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Soledad Marissa Gay Individual 5% Or Greater Direct Ownership Interest Nov 13, 2004 100%
Corporate Officer Nov 13, 2004
Corporate Director Dec 20, 2004
W-2 Managing Employee Nov 13, 2004
Operational/Managerial Control Nov 13, 2004

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962559146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 THISTLECREEK CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775457518",
            "telephone_number": "281-431-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 THISTLECREEK CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775457518",
            "telephone_number": "281-431-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "SOLEDAD",
        "authorized_official_title_or_position": "ADMINISTRATOR PRESIDENT",
        "authorized_official_telephone_number": "281-431-6763"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, TX

Sources for this page

Verify at the official NPI Registry.