Organization Active NPI

Divine Serenity Home Health LLC

  • Home Health Agency
  • Havertown, PA
National Provider Identifier
1982473690
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE SERENITY HOME HEALTH LLC
Practice address
850 W Chester Pike Ste 108
Havertown, PA 19083-4439
Phone
(484) 540-7766
Fax
(610) 537-7016
NPI assigned
Dec 21, 2023
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Jemama Yancy
Title
Owner
Phone
(484) 540-7766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

850 W Chester Pike Ste 108
Havertown, PA 19083-4439

Mailing address

850 W Chester Pike Ste 108
Havertown, PA 19083-4439
Phone (484) 540-7766

Care Compare: Home health agency

Medicare Care Compare
Listed as
Divine Serenity Home Health, LLCCCN 398391
Ownership
-
Certified
Jun 27, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
39D2306995Divine Serenity Home Health LLC850 W Chester Pike, Ste 108, Havertown, PA 19083Certificate of waiverJun 27, 2028

National Provider Directory

National Provider Directory

Locations

850 W Chester Pike
Ste 108
Havertown, PA 19083
Phone (484) 540-7766

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1982473690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W CHESTER PIKE STE 108",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834439",
            "telephone_number": "484-540-7766",
            "fax_number": "610-537-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W CHESTER PIKE STE 108",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834439",
            "telephone_number": "484-540-7766",
            "fax_number": "610-537-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SERENITY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "YANCY",
        "authorized_official_first_name": "JEMAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-540-7766"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.