Organization Active NPI

Serene Home Care of Clearwater, LLC

  • In Home Supportive Care Agency
  • Clearwater, FL
National Provider Identifier
1962959916
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENE HOME CARE OF CLEARWATER, LLC
Practice address
3000 Gulf to Bay Blvd
Suite 216
Clearwater, FL 33759-4321
Phone
(813) 374-0268
Fax
(813) 252-6941
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Jenny Segarra
Title
Manager
Phone
(813) 210-0982

Specialties & licenses 1

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

Addresses

Primary practice location

3000 Gulf to Bay Blvd
Suite 216
Clearwater, FL 33759-4321

Mailing address

3802 Ehrlich Rd
Ste. 309-a
Tampa, FL 33624-2378
Phone (813) 374-0268

National Provider Directory

National Provider Directory

Locations

3000 Gulf To Bay Blvd
Ste 216
Clearwater, FL 33759
Phone (813) 374-0268

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1962959916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 EHRLICH RD",
            "address_2": "STE. 309-A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242378",
            "telephone_number": "813-374-0268",
            "fax_number": "813-252-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GULF TO BAY BLVD",
            "address_2": "SUITE 216",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594321",
            "telephone_number": "813-374-0268",
            "fax_number": "813-252-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HOME CARE OF CLEARWATER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "SEGARRA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-210-0982"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.