SERENITY HOMES LLC (NPI# 1588994560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588994560 |
| Entity Type | Organization |
| Organization Name | SERENITY HOMES LLC |
| Practice Address |
3313 Cotton Bale Cv Memphis TN 38119-8971 |
| Practice Telephone | 9017586955 |
| Practice Fax Number | 9017586956 |
| Mailing Telephone | 9017586955 |
| Mailing Fax Number | 9017586956 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |
| Authorized Official Name | MARY PHELAN (OWNER) |
| Authorized Official Telephone | 2488046700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SERENITY HOMES LLC | 941 Mclean Avenue Suite 153, Yonkers, New York 10704 |
| Colorado Business Entities | Serenity Homes LLC | 341 Main St, Delta, CO 81416 |
| Virginia Business Entities | Serenity Homes LLC | 1833 Heabley Rd, Mauretown, Virginia 22644 |
| Street Address |
3313 COTTON BALE CV |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-8971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720580624 | Renee's House of Care | Assisted Living Facility | 2068 Lee Cv, Memphis, TN 38127-3322 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905386 | Memanabel Assisted Living Home Care | Assisted Living Facility | 5161 Pebble Creek Dr, Antioch, TN 37013-1871 | 2020-05-29 |
| 1154880557 | Wellington Manor, LLC | Assisted Living Facility | 375 Hendrick Drive, Newport, TN 37821-5344 | 2019-03-15 |
| 1134699242 | Fountain Springs Healthcare Corp | Assisted Living Facility | 637 Lake Terrace Dr, Nashville, TN 37217-4212 | 2018-12-01 |
| 1225568389 | Balance Homecare LLC | Assisted Living Facility | 2611 Herman St, Nashville, TN 37208-3234 | 2017-06-12 |
| 1700281524 | Trucare Transformation | Assisted Living Facility | 607 Neill Ave, Nashville, TN 37206-3923 | 2014-10-23 |
| 1497163760 | Comer House of Nashville LLC | Assisted Living Facility | 1603 14th Ave N, Nashville, TN 37208-2034 | 2014-07-30 |
| 1821337866 | Leann Care LLC | Assisted Living Facility | 33 Rawlig Wood Cove Ave, Jackson, TN 38305 | 2013-02-12 |
| 1770760829 | Davidson County Assisted Living LLC | Assisted Living Facility | 6961 Highway 70 S, Nashville, TN 37221-2204 | 2008-01-30 |
| 1710180955 | Victorian Square, LLC | Assisted Living Facility | 241 S Chamberlain Ave, Rockwood, TN 37854-6542 | 2007-06-06 |
| 1407363526 | True Home Health | Assisted Living Facility | 111 Center Park Dr Ste 115, Knoxville, TN 37922-2121 | 2018-01-10 |
| 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.