SERENITY PRIVATE CARE LLC (NPI# 1386112605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386112605 |
| Entity Type | Organization |
| Organization Name | SERENITY PRIVATE CARE LLC |
| Practice Address |
8550 United Plaza Blvd Ste 702 Baton Rouge LA 70809-0200 |
| Practice Telephone | 2259636688 |
| Practice Fax Number | 2259636688 |
| Mailing Telephone | 2259636688 |
| Mailing Fax Number | 2259636688 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |
| Authorized Official Name | JACKIE LAVETTE MOORE (OWNER) |
| Authorized Official Telephone | 2259630308 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
8550 UNITED PLAZA BLVD STE 702 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-0200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427189141 | William Nicholas Abraham | Counselor | 8550 United Plaza Blvd Ste 702, Baton Rouge, LA 70809-0200 | 2007-03-07 |
| 1710455159 | Jackie L Moore | Adult Companion | 8550 United Plaza Blvd Ste 702, Baton Rouge, LA 70809-0200 | 2018-11-04 |
| 1366809303 | Precious King | Developmental Therapist | 8550 United Plaza Blvd Ste 702, Baton Rouge, LA 70809-0200 | 2016-01-21 |
| 1528438330 | Sherrie Antwine | Counselor | 8550 United Plaza Blvd Ste 702, Baton Rouge, LA 70809-0200 | 2015-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861020596 | Kith & Kin Care Givers LLC | In Home Supportive Care | 1200 S Acadian Twy Ste 211, Baton Rouge, LA 70806-6900 | 2020-03-30 |
| 1427681659 | Raynesha Cummings | In Home Supportive Care | 2138 Wooddale Blvd Ste 7, Baton Rouge, LA 70806-1443 | 2020-02-17 |
| 1275177792 | Our Grace LLC | In Home Supportive Care | 11940 Bricksome Ave Ste D, Baton Rouge, LA 70816-2594 | 2019-10-29 |
| 1972150928 | Innovative Resource Group of Louisiana | In Home Supportive Care | 9800 Airline Hwy Ste 125, Baton Rouge, LA 70816-8000 | 2019-08-23 |
| 1194371054 | A New Beginning Personal Care | In Home Supportive Care | 3613 Government St Ste B, Baton Rouge, LA 70806-5721 | 2019-08-15 |
| 1083260525 | A New Beginning Personal Care | In Home Supportive Care | 12090 S Harrells Ferry Rd Ste R, Baton Rouge, LA 70816-2470 | 2019-08-12 |
| 1376198077 | New Angelic Friends | In Home Supportive Care | 9410 Lindale Ave Ste C, Baton Rouge, LA 70815-4160 | 2019-08-08 |
| 1255983797 | Moore Care, LLC | In Home Supportive Care | 7341 Jefferson Hwy Ste I, Baton Rouge, LA 70806-8203 | 2019-07-15 |
| 1427517499 | Sdx Home Care Operations, LLC | In Home Supportive Care | 4626 Jamestown Ave Ste 6, Baton Rouge, LA 70808-3217 | 2019-03-18 |
| 1285190488 | Lda Caring With Open Arms | In Home Supportive Care | 1610 S Flannery Rd, Baton Rouge, LA 70816-1170 | 2019-02-13 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.