SERENITY ANGELS LLC (NPI# 1750883468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750883468 |
| Entity Type | Organization |
| Organization Name | SERENITY ANGELS LLC |
| Practice Address |
3537 Cottage St Jackson MS 39213-5721 |
| Practice Telephone | 6015030022 |
| Mailing Telephone | 6015030022 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Authorized Official Name | MILLER VANCE (CEO) |
| Authorized Official Telephone | 6015030022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
3537 COTTAGE ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39213-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1437764891 | Janet Hammock | Homemaker | 171 Coffman St, Jackson, OH 45640-1211 | 2020-09-12 |
| 1851856579 | Sylvia L Terry | Homemaker | 2135 Henry Hill Dr Ste 1, Jackson, MS 39204-2027 | 2019-02-06 |
| 1396219382 | Mark A Woods | Homemaker | 360 Comet Dr Ste C, Jackson, MS 39206-4333 | 2019-01-14 |
| 1558847616 | Angela Coleman | Homemaker | 2317 Kibby Rd, Jackson, MI 49203-3835 | 2018-07-12 |
| 1326541178 | Jamila Birden | Homemaker | 3233 Charleston Dr, Jackson, MS 39212-4102 | 2018-03-16 |
| 1487156873 | Debra Ann Scott | Homemaker | 76 Woodland Dr, Jackson, TN 38305-6414 | 2018-03-02 |
| 1225559917 | Ronesha Haygood | Homemaker | 1636 Raymond Road Apt 17k, Jackson, MS 39205 | 2017-07-03 |
| 1245570597 | Dorothy M. Taylor | Homemaker | 104 Walnut Trace Dr., Jackson, TN 38305 | 2013-02-25 |
| 1053620666 | Holly Peterson | Homemaker | 1107 Park Rd, Jackson, MI 49203-5066 | 2010-09-30 |
| Find all providers in JACKSON | ||||
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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.