SERENITY HOME HEALTH CARE


Address: 283 Parks Rd, Jackson, MS 39212-9604
Phone: 6017609879

SERENITY HOME HEALTH CARE (NPI# 1417415548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417415548
Entity Type Organization
Organization Name SERENITY HOME HEALTH CARE
Practice Address 283 Parks Rd
Jackson
MS 39212-9604
Practice Telephone 6017609879
Practice Fax Number 6013731655
Mailing Telephone 6017609879
Mailing Fax Number 6013731655
Enumeration Date 2019-03-07
Last Update Date 2019-03-07
Authorized Official Name MR. EMMETT CASTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6017609879
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider/Organization Names

Other Name Type Code
Serenity Home Health Care Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215327622 Serenity Home Health Care Case Management 400 S Main St Ste B-1, Mauldin, SC 29662-2251 2015-01-24
1861892069 Serenity Home Health Care Home Health 3800 Poplar Hill Road, Suite D, Chesapeake, VA 23321-5522 2014-08-26
1437122363 Serenity Home Health Care Home Health 730 Portage Trail Ext, Akron, OH 44313-8506 2006-02-10

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities SERENITY HOME HEALTH CARE INCORPORATED 8830 5th St, Highland, IN 46322-5506

Office Location

Street Address 283 PARKS RD
City JACKSON
State MS
Zip Code 39212-9604

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013406172 South Central Community Action Agency, Inc Non-emergency Medical Transport (VAN) 3891 I-55 South Frontage Rd, Jackson, MS 39212 2018-05-04
1508305780 Caring Companions LLC Home Health 1024 Cooper Rd, Jackson, MS 39212 2017-02-21
1750634044 Christians In Action, Inc. Community/Behavioral Health 2025 North Siwell Rd, Jackson, MS 39212 2012-10-24
1609164748 Counseling and Mentoring Program Community/Behavioral Health 2964 Terry Road B-1, Jackson, MS 39212 2011-07-11
1407179039 Caring Hands Community Services Inc Skilled Nursing Facility 3318 Longwood Drive, Jackson, MS 39212 2010-03-10
1992239404 Shaemik Harris Registered Nurse 3520 Sykes Park Dr, Jackson, MS 39212 2017-04-12
1780044438 Alfonzo Haralson Counselor 132 Thousand Oaks Cir, Jackson, MS 39212-2046 2016-02-24
1659384063 Kentrell Marie Liddell Family Medicine 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 2006-08-15
1649819590 George Cavett Jr. Nurse Practitioner 2450 Twisted Oak Dr, Jackson, MS 39212-2137 2019-12-24
1912455361 Victorious Healthcare L.L.C. Assisted Living Facility 4959 Laurel Oak Dr, Jackson, MS 39212-2150 2016-09-14
Find all providers in zip 39212

Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164029930 Just Like Family Home Care LLC Home Health 910 E Northside Dr # 910e, Jackson, MS 39206-5533 2020-10-05
1235743162 Shymeka Bolden Home Health 405 Dewitt Ave, Jackson, MS 39203 2020-09-08
1023647955 Jennifer Mcneil Home Health 5814 Clinton Blvd # 2b, Jackson, MS 39209-2807 2020-04-02
1326670977 Tyesha Smith Home Health 200 Rebel Woods Dr, Jackson, MS 39212-3009 2020-02-11
1780230185 Avis Caring Hands Home Service Home Health 1419 Cooks Ave, Jackson, MS 39212-4376 2019-08-13
1063073500 Dorothy Jean Homes Home Health 1836 First Ave, Jackson, MS 39209-6345 2019-06-25
1750941027 Rock Care Home Health, LLC Home Health 3130 E Jackson Blvd Ste B, Jackson, MO 63755-2957 2019-06-18
1841762192 All About You Care LLC Home Health 716 Tomlinson St, Jackson, MI 49203-2060 2018-12-27
1013489483 Sarah Gillum Home Health 1127 Greenbriar St, Jackson, MS 39211-2735 2018-12-26
1821567868 Frederick Bernard Reginal Home Health 2310 Highway 80 W, Jackson, MS 39204-2354 2018-11-20
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39212

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Dataset Information

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.

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