SERENITY HOME CARE LLC (NPI# 1679967491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679967491 |
| Entity Type | Organization |
| Organization Name | SERENITY HOME CARE LLC |
| Practice Address |
111 Renee Dr Bells TN 38006-1100 |
| Practice Telephone | 7315019227 |
| Mailing Telephone | 7315019227 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | MRS. JESSICA MICHELLE FOSTER (OWNER/MEMBER) |
| Authorized Official Telephone | 7315019227 |
| Authorized Official Credential | CNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | 000786069 | TN | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656651 | Serenity Home Care LLC | Residential Treatment Facility, Physical Disabilities | 6858 S 19th St, Phoenix, AZ 85042-5770 | 2020-10-10 |
| 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 |
| 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 |
111 RENEE DR |
| City | BELLS |
| State | TN |
| Zip Code | 38006-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255673380 | Downtown Medical Clinic Pllc | Clinic/Center | 113 Hopkins Avenue, Bells, TN 38006 | 2013-03-27 |
| 1578624458 | Joseph C Widner | Dentist | 6058 Hwy 412 South, Bells, TN 38006 | 2006-12-13 |
| 1538128640 | Bells Family Medicine | Nurse Practitioner | 103 Front St, Bells, TN 38006 | 2006-03-20 |
| 1881711539 | Glenn Rowe Bonifield Jr. | Pharmacist | 131 Main St, Bells, TN 38006-0280 | 2007-03-26 |
| 1790812956 | Liberty Medical Clinic PC | Clinic/Center | 4937 College St, Bells, TN 38006-3483 | 2007-02-27 |
| 1467636373 | Chizoba N Nnaji | Nurse Practitioner | 4937 College St, Bells, TN 38006-3483 | 2007-12-27 |
| 1477576346 | Bells Nursing Home Inc | Skilled Nursing Facility | 213 Herndon Dr, Bells, TN 38006-3654 | 2006-07-25 |
| 1245253087 | Vicky Richards | Pharmacist | 150 Herndon Dr, Bells, TN 38006-3659 | 2006-07-25 |
| 1265420962 | Carol C Haynes | Family Medicine | 100 Herndon Dr, Bells, TN 38006-3659 | 2005-10-07 |
| 1215925425 | Transsouth Health Care PC | Family Medicine | 100 Herndon Dr, Bells, TN 38006-3659 | 2005-10-11 |
| Find all providers in zip 38006 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881440 | One Call Away Honecare LLC | Adult Companion | 5413 Riverstone Dr, Memphis, TN 38125-4334 | 2020-11-08 |
| 1154920361 | Danielle Echols | Adult Companion | 4200 Outland Rd, Memphis, TN 38118-7014 | 2020-10-19 |
| 1659986396 | Angel D Ford | Adult Companion | 3085 Pershing Ave, Memphis, TN 38112-2011 | 2020-09-10 |
| 1306476536 | Lenisha Garrett | Adult Companion | 1137 Greenlea Blvd Apt G14, Gallatin, TN 37066-8371 | 2020-01-15 |
| 1447810189 | Erica Nicole Robertson | Adult Companion | 1807 Johnson St, Dyersburg, TN 38024-3557 | 2019-06-15 |
| 1922565514 | Ttmscares | Adult Companion | 2373 Meadow Ridge Dr, Cordova, TN 38016-8468 | 2019-03-01 |
| 1609348796 | Loving Hands Caregiver | Adult Companion | 2715 13th Ave, Chattanooga, TN 37407-1213 | 2018-12-29 |
| 1407339989 | Haley Bass Johnson | Adult Companion | 783 Old Hickory Blvd # 360, Brentwood, TN 37027-4508 | 2018-09-11 |
| 1427538008 | Laquetta Yvette Hendree | Adult Companion | 2260 Mangum Rd, Memphis, TN 38134-5811 | 2018-08-14 |
| 1538647573 | Maegan Bowers | Adult Companion | 509 Cato Ridge Ct, Nashville, TN 37218-3630 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SERENITY HOME CARE LLC.
| 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.