SERENITY HOUSE ADULT DAY HEALTH SERVICES, INC. (NPI# 1194908400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194908400 |
| Entity Type | Organization |
| Organization Name | SERENITY HOUSE ADULT DAY HEALTH SERVICES, INC. |
| Practice Address |
511 N. Church Street Brookhaven MS 39601-2709 |
| Mailing Address |
Post Office Box 1334 Brookhaven MS 39601 |
| Practice Telephone | 6018334166 |
| Mailing Telephone | 6018334166 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |
| Authorized Official Name | MRS. KATHERINE RICHARDSON (PRESIDENT) |
| Authorized Official Telephone | 6018334166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | 887539 | MS | Agencies |
| N | 343900000X | Non-emergency Medical Transport (VAN) | 887539 | MS | Transportation Services |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
887539 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03680547 | 05 |
| Street Address |
511 N. CHURCH STREET |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662626 | Hair Rehab | Clinic/Center | 313 Holland St, Anguilla, MS 38721-3872 | 2020-09-04 |
| 1326688185 | Brittney Debose | Clinic/Center | 16016 Lemoyne Blvd Apt 912, Biloxi, MS 39532-5186 | 2020-01-09 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1215575675 | The Abigayle Adult Day Care | Clinic/Center | 205 Industrial Cv, Ridgeland, MS 39157-2715 | 2019-12-17 |
| 1053977298 | Cal-wal Southern, LLC | Clinic/Center | 114 W Walker St, Greenville, MS 38701-4755 | 2019-05-14 |
| 1083171334 | Beverly Forrest-butts | Clinic/Center | 407 Nw Depot St, Durant, MS 39063-3705 | 2019-02-22 |
| 1023574183 | Quality Lives Assisted Living LLC | Clinic/Center | 226 Pauline St, Greenville, MS 38701-7012 | 2019-02-13 |
| 1619431210 | Deborah D Gibbs | Clinic/Center | 1403 S Broadway, Shelby, MS 38774 | 2019-01-28 |
| 1346712023 | Faith and Hope Adult Daycare | Clinic/Center | 737 N State St, Jackson, MS 39202-3006 | 2018-12-19 |
| 1013488923 | Covenant Adult Day Care of Tunica | Clinic/Center | 1041 Highway 61 S Ste 3, Tunica, MS 38676-9130 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
Please comment or provide details below to improve the information on SERENITY HOUSE ADULT DAY HEALTH SERVICES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.