SERENITY HOME CARE LLC (NPI# 1427656651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427656651 |
Entity Type | Organization |
Organization Name | SERENITY HOME CARE LLC |
Practice Address |
6858 S 19th St Phoenix AZ 85042-5770 |
Mailing Address |
4451 W St Anne Ave Laveen AZ 85339-6232 |
Practice Telephone | 8584135494 |
Mailing Telephone | 8582165617 |
Enumeration Date | 2020-10-10 |
Last Update Date | 2020-10-10 |
Authorized Official Name | SADIYA ALASOW (OWNER) |
Authorized Official Telephone | 8582165617 |
Authorized Official Credential | REGISTERED NURSE |
Is Organization Subpart | Y |
Parent Organization Name | SERENITY HOME CARE LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497385892 | Serenity Home Care LLC | Residential Treatment Facility, Physical Disabilities | 4451 W St Anne Ave, Laveen, AZ 85339-6232 | 2020-01-24 |
1891155669 | Serenity Home Care LLC | Home Health | 5808 Texas Ave Se, Lacey, WA 98513-5233 | 2016-03-07 |
1295129617 | Serenity Home Care LLC | Home Health | 120 Kingsley Way, Freehold, NJ 07728-1667 | 2015-03-24 |
1679967491 | Serenity Home Care LLC | Adult Companion | 111 Renee Dr, Bells, TN 38006-1100 | 2015-03-19 |
1205280286 | Serenity Home Care LLC | In Home Supportive Care | 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005-1687 | 2016-04-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | SERENITY HOME CARE LLC | 1801 West Bay Dr Nw, Suite 203b, Olympia, WA 98502-4311 |
Oregon Corporations, Companies and Business Names | SERENITY HOME CARE LLC | 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005 |
Street Address |
6858 S 19TH ST |
City | PHOENIX |
State | AZ |
Zip Code | 85042-5770 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
Find all providers in zip 85042 |
Taxonomy Code | 320700000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Physical Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356853915 | Pastalino Manor 4 | Residential Treatment Facility, Physical Disabilities | 1421 E Maldonado Dr, Phoenix, AZ 85042-5602 | 2017-11-03 |
1386969947 | San Judas Group Home | Residential Treatment Facility, Physical Disabilities | 5116 S 11th Ave, Phoenix, AZ 85041-2363 | 2010-04-07 |
1245494178 | National Mentor Healthcare | Residential Treatment Facility, Physical Disabilities | 15032 N 37th Ave, Phoenix, AZ 85053 | 2008-07-10 |
1164629333 | Angel Care Home | Residential Treatment Facility, Physical Disabilities | 2231 N 38th St, Phoenix, AZ 85008-3012 | 2007-06-29 |
1033564042 | Arizona Therapy Associates, LLC | Residential Treatment Facility, Physical Disabilities | 18444 N 25th Ave, Suite 420-712, Phoenix, AZ 85023-1261 | 2016-04-27 |
1558706515 | One Tree Inc | Residential Treatment Facility, Physical Disabilities | 2423 W Dunlap Ave, Phoenix, AZ 85021-2830 | 2013-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
1497385892 | Serenity Home Care LLC | Residential Treatment Facility, Physical Disabilities | 4451 W St Anne Ave, Laveen, AZ 85339-6232 | 2020-01-24 |
1023658127 | Carefree Manor Assisted Living LLC | Residential Treatment Facility, Physical Disabilities | 7886 E Breathless Dr, Carefree, AZ 85377 | 2020-01-07 |
1497234710 | Sampaguita D. Maglalang | Residential Treatment Facility, Physical Disabilities | My Home Care Adult Assisted Living Facility, LLC., 2607 West Curry Street, Chandler, AZ 85224-1040 | 2018-08-08 |
1326533407 | Neuro Rehabcare Scottsdale - Az LLC | Residential Treatment Facility, Physical Disabilities | 7480 E Camino Santo, Scottsdale, AZ 85260-3905 | 2018-06-29 |
1770009219 | Neuro Rehabcare of The Valley - Az LLC | Residential Treatment Facility, Physical Disabilities | 8307 W Misty Willow Ln, Peoria, AZ 85383-1511 | 2017-08-16 |
1184150484 | Ndg Adult Care Home LLC | Residential Treatment Facility, Physical Disabilities | 1106 W 9th St, Tempe, AZ 85281-5304 | 2017-05-04 |
1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
1447658943 | Moses Behavioral Care | Residential Treatment Facility, Physical Disabilities | 17622 W Port Royale Ln, Surprise, AZ 85388-7792 | 2014-12-15 |
1134529282 | Marhaba Home Care LLC | Residential Treatment Facility, Physical Disabilities | 15244 W Watson Ln, Surprise, AZ 85379-7040 | 2014-08-26 |
Find all providers with the same taxonomy |
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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.