Organization Active NPI

Serenity Home Care Service LLC

  • Home Health Agency
  • Deltona, FL
National Provider Identifier
1972219673
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY HOME CARE SERVICE LLC
Practice address
1235 Providence Blvd # 1044
Deltona, FL 32725-7363
Phone
(226) 785-0355
Fax
(226) 785-0355
NPI assigned
Jan 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Shirika Jones
Title
Director of Home Care
Phone
(226) 785-0355

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1235 Providence Blvd # 1044
Deltona, FL 32725-7363

Mailing address

1235 Providence Blvd # 1044
Deltona, FL 32725-7363
Phone (226) 785-0355

Other names 1

  • Compassionate Helpers Doing business as

National Provider Directory

National Provider Directory

Locations

1235 Providence Blvd
#1044
Deltona, FL 32725
Phone (226) 785-0355

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1972219673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 PROVIDENCE BLVD # 1044",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257363",
            "telephone_number": "226-785-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PROVIDENCE BLVD # 1044",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257363",
            "telephone_number": "226-785-0355",
            "fax_number": "226-785-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHIRIKA",
        "authorized_official_title_or_position": "DIRECTOR OF HOME CARE",
        "authorized_official_telephone_number": "226-785-0355"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Helpers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.