SERENITY HOME CARE MS (NPI# 1215547773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215547773 |
| Entity Type | Organization |
| Organization Name | SERENITY HOME CARE MS |
| Practice Address |
2012 Highway 90 Ste 9 Gautier MS 39553-5305 |
| Mailing Address |
3760 River Loop Dr Diberville MS 39540-7301 |
| Practice Telephone | 2282976862 |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2020-08-08 |
| Authorized Official Name | FRANCHESCA MOULTRIE (OWNER) |
| Authorized Official Telephone | 2282976862 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
2012 HIGHWAY 90 STE 9 |
| City | GAUTIER |
| State | MS |
| Zip Code | 39553-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| 1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
| 1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
| 1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
| 1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
| 1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
| Find all providers in zip 39553 | ||||
| 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 |
|---|---|---|---|---|
| 1770109076 | Peace of Mind Homecare Services LLC | Home Health | 2012 Highway 90 Ste 12a, Gautier, MS 39553-5306 | 2020-06-22 |
| 1821320516 | Amedisys Mississippi, LLC | Home Health | 2012 Highway 90, Gautier, MS 39553-5306 | 2010-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122733 | Blessing Hearts Private Duty Home Care LLC | Home Health | 105 N Cherry St, Tylertown, MS 39667-2308 | 2020-10-23 |
| 1568061406 | True Alliance Home Healthcare, LLC | Home Health | 6950 Dakota Cir S, Olive Branch, MS 38654-9064 | 2020-10-21 |
| 1043818925 | Home In The Heart Health Care Agency, LLC | Home Health | 5915 Brice Cv N, Olive Branch, MS 38654-3529 | 2020-10-13 |
| 1689271017 | Thompson Healthcare Services, LLC | Home Health | 208 Grace Dr, Flowood, MS 39232-5511 | 2020-10-08 |
| 1760089346 | Natasha Turner | Home Health | 224 Cedar St, Kosciusko, MS 39090-4504 | 2020-10-06 |
| 1164029930 | Just Like Family Home Care LLC | Home Health | 910 E Northside Dr # 910e, Jackson, MS 39206-5533 | 2020-10-05 |
| 1235743162 | Shymeka Bolden | Home Health | 405 Dewitt Ave, Jackson, MS 39203 | 2020-09-08 |
| 1023620887 | Porsche Ann Walley | Home Health | 5101 Orchard Ave Apt 91, Pascagoula, MS 39581-3907 | 2020-08-21 |
| 1750993358 | Tab, LLC | Home Health | 785 Creston Dr, Byram, MS 39272-3001 | 2020-08-17 |
| 1740891506 | Trucare Sitters LLC | Home Health | 908 Bickerstaff St, Tupelo, MS 38801-6802 | 2020-08-13 |
| 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.