SERENITY CHOICE HOMECARE (NPI# 1750691903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750691903 |
| Entity Type | Organization |
| Organization Name | SERENITY CHOICE HOMECARE |
| Practice Address |
33459 Csah 19 South Haven MN 55382-2821 |
| Practice Telephone | 3203988335 |
| Practice Fax Number | 3203988335 |
| Mailing Telephone | 3203988335 |
| Mailing Fax Number | 3203988335 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2011-04-07 |
| Authorized Official Name | MRS. SARAH LYNN KNUTSON (COE) |
| Authorized Official Telephone | 3203988335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
33459 CSAH 19 |
| City | SOUTH HAVEN |
| State | MN |
| Zip Code | 55382-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922292846 | Mary Cecilia Maier | Nurse Practitioner | 17372 County Road 37 Nw, South Haven, MN 55382-4003 | 2007-09-04 |
| 1942502133 | Lynette Carol Imdieke-struzyk | Counselor | 6069 Hidden Ln, South Haven, MN 55382-4505 | 2010-11-22 |
| 1174963748 | Brenda J Arnold | Counselor | 6331 Hidden Ln, South Haven, MN 55382-4555 | 2013-06-27 |
| 1154823755 | Janell Dawn Missler | Foster Care Agency | 1348 County Road 44, South Haven, MN 55382-9112 | 2018-02-28 |
| 1497051676 | Ashley Blasczyk | Registered Nurse | 14416 Beaverwood Rd, South Haven, MN 55382-9296 | 2011-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154458 | Spectrum Health Primary Care Partners | Internal Medicine | 749 Phillips St, South Haven, MI 49090-1842 | 2020-11-05 |
| 1043833643 | Ralph Cunningham | Counselor | 16057 Blue Star M Hwy, South Haven, MI 49090-9470 | 2020-05-19 |
| 1245850957 | Black River Anesthesia Staffing LLC | Nurse Anesthetist, Certified Registered | 7245 Baseline Rd, South Haven, MI 49090-9176 | 2020-04-22 |
| 1235789553 | Dorthie Bolden | Foster Care Agency | 7027 Baseline Rd, South Haven, MI 49090-8338 | 2019-09-18 |
| 1033776919 | South Coast Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 72633 M 43, South Haven, MI 49090-8734 | 2019-05-25 |
| 1275001828 | Ripple Effects Autism Learning Center, LLC | Behavioral Analyst | 06321 Blue Star Memorial Hwy, South Haven, MI 49090-7775 | 2018-11-12 |
| 1821564311 | Carly Anastacia Greenhoe | Pharmacist | 08337 M 140 Ste 2, South Haven, MI 49090-1990 | 2018-10-23 |
| 1649777657 | Lisa Marie Letts | Massage Therapist | 410 Erie St, South Haven, MI 49090-1324 | 2018-04-07 |
| 1154823755 | Janell Dawn Missler | Foster Care Agency | 1348 County Road 44, South Haven, MN 55382-9112 | 2018-02-28 |
| 1689174310 | Stephanie Bycroft | Nurse Practitioner | 965 S Bailey Ave Ste 2-5, South Haven, MI 49090-6743 | 2018-02-19 |
| Find all providers in SOUTH HAVEN | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043666167 | Joyce Lee Peterson | Home Health | 328 Edgell St, South Haven, MI 49090-1716 | 2016-05-07 |
| 1366713265 | Turner Home Healthcare | Home Health | 10871 68th St, South Haven, MI 49090-8729 | 2012-01-24 |
| 1215023551 | Friends Who Care-south Haven,llc | Home Health | 532 Dyckman Ave Ste A, South Haven, MI 49090-2509 | 2006-10-05 |
| 1356586531 | Universall Home Health Care, LLC. | Home Health | 1210 Phoenix St, Suite 6, South Haven, MI 49090-7913 | 2008-12-02 |
| 1467539502 | Bronson South Haven Hospital | Home Health | 955 S Bailey Ave, South Haven, MI 49090-9701 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770399 | Tender Care Providers LLC | Home Health | 1794 Switchgrass Cir, Shakopee, MN 55379-8533 | 2020-11-07 |
| 1194326942 | Shakur Abdisalam | Home Health | 1440 E Old Shakopee Rd, Bloomington, MN 55425-2438 | 2020-11-06 |
| 1821699182 | Immediate Home Health Care LLC | Home Health | 2817 Anthony Ln S Ste 210, St Anthony, MN 55418-2488 | 2020-11-03 |
| 1093315780 | Eco Green Corporation | Home Health | 3274 98th Cir N, Brooklyn Park, MN 55443-1846 | 2020-10-30 |
| 1841899846 | Hands On Care | Home Health | 1550 Larpenteur Ave W Apt 423, Falcon Heights, MN 55113-6364 | 2020-10-21 |
| 1326646191 | Rose Pratt | Home Health | 121 83rd Ave Ne Apt 310, Fridley, MN 55432-1893 | 2020-10-14 |
| 1255939369 | Mn Health LLC | Home Health | 784 Cougar Dr, Eagan, MN 55123-2069 | 2020-10-12 |
| 1942807672 | Twin Cities Group Homes LLC | Home Health | 711 22nd Ave Ne, Minneapolis, MN 55418-3601 | 2020-10-06 |
| 1801493721 | Shifaa Care Inc | Home Health | 7038 Brooklyn Blvd Unit D, Brooklyn Center, MN 55429-1370 | 2020-10-04 |
| 1841807450 | Shire Homecare Agency | Home Health | 618 9th Ave S Apt 307, Minneapolis, MN 55415-4608 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HAVEN |
| Zip Code | 55382 |
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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.