SERENITY HOME CARE LLC


Address: 6858 S 19th St, Phoenix, AZ 85042-5770
Phone: 8584135494

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320700000X Residential Treatment Facility, Physical Disabilities Residential Treatment Facilities

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 6858 S 19TH ST
City PHOENIX
State AZ
Zip Code 85042-5770

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 320700000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Physical Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City PHOENIX
Zip Code 85042

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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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