Organization Active NPI

Serenity Supported Living LLC

  • In Home Supportive Care Agency
  • Knoxville, TN
National Provider Identifier
1972499614
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY SUPPORTED LIVING LLC
Doing business as
Serenity Supported Living LLC
Practice address
800 S Gay St Ste 700
Knoxville, TN 37929-9703
Phone
(314) 644-8250
NPI assigned
Jun 17, 2025
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Iesha Deena Powell
Title
Ceo
Phone
(314) 644-8250

Specialties & licenses 1

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

Addresses

Primary practice location

800 S Gay St Ste 700
Knoxville, TN 37929-9703

Mailing address

800 S Gay St Ste 700
Knoxville, TN 37929-9703
Phone (314) 644-8250

Other names 1

  • SERENITY SUPPORTED LIVING LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1972499614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S GAY ST STE 700",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379299703",
            "telephone_number": "314-644-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S GAY ST STE 700",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379299703",
            "telephone_number": "314-644-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SUPPORTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "IESHA",
        "authorized_official_middle_name": "DEENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-644-8250"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERENITY SUPPORTED LIVING LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.