SERENITY HOME HEALTH L.L.C. (NPI# 1538654967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538654967 |
| Entity Type | Organization |
| Organization Name | SERENITY HOME HEALTH L.L.C. |
| Practice Address |
102 W Diamond Lake Rd Apt 224 Minneapolis MN 55419-1875 |
| Practice Telephone | 6123883889 |
| Mailing Telephone | 6123883889 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Authorized Official Name | MR. DERRICK LEE ROBERTS I (PRESIDENT/CEO) |
| Authorized Official Telephone | 6123883889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | MN | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Serenity Home Health LLC | 173 W 4th. St., Garland, NC 28441 |
| Street Address |
102 W DIAMOND LAKE RD APT 224 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55419-1875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032054 | David Gregg | Internal Medicine | 5305 Humboldt Ave S, Minneapolis, MN 55419 | 2020-01-15 |
| 1972020329 | Michael Daly | Marriage & Family Therapist | 5413 Nicollet Ave # 152, Minneapolis, MN 55419 | 2017-08-26 |
| 1518343946 | Samantha Ruth Praus | Counselor | Wellness Minneapolis, 4450 Nicollet Ave. S., Minneapolis, MN 55419 | 2015-08-07 |
| 1679919104 | Morgan Supinski | Occupational Therapist | 5748 Clinton Ave, Minneapolis, MN 55419 | 2013-05-10 |
| 1720358021 | Jeremy Zellmann | Pharmacist | 6001 Mogan Avenue South, Minneapolis, MN 55419 | 2012-01-04 |
| 1003108895 | Nicollet Dental | Dentist | 6101 Nicollet Ave. So., Minneapolis, MN 55419 | 2011-05-11 |
| 1194056812 | Laura J. Johnson | Social Worker | 410 E 48th St Ste 2, Minneapolis, MN 55419 | 2010-01-20 |
| 1992934392 | Morningsong Therapy Center Inc | Clinic/Center | 25 W. Diamond Lake Road, Minneapolis, MN 55419 | 2009-07-07 |
| 1619118775 | Dr. David Mckay, Dds LLC | Dentist | 4800 Nicollet Ave. S., Minneapolis, MN 55419 | 2009-03-18 |
| 1750553343 | Alex B Lanning | Chiropractor | 5415 Nicollet Ave, Minneapolis, MN 55419 | 2008-03-24 |
| Find all providers in zip 55419 | ||||
| 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 |
|---|---|---|---|---|
| 1942807672 | Twin Cities Group Homes LLC | Home Health | 711 22nd Ave Ne, Minneapolis, MN 55418-3601 | 2020-10-06 |
| 1841807450 | Shire Homecare Agency | Home Health | 618 9th Ave S Apt 307, Minneapolis, MN 55415-4608 | 2020-09-28 |
| 1508473216 | Pillar PCa LLC | Home Health | 1701 Como Ave Se, Minneapolis, MN 55414-2426 | 2020-09-26 |
| 1518575158 | Helpful Hands Home Care LLC | Home Health | 2829 Delaware St Se, Minneapolis, MN 55414-3421 | 2020-07-20 |
| 1942828249 | Bayda Group Home Inc. | Home Health | 1218 E 26th St, Minneapolis, MN 55404-4508 | 2020-07-13 |
| 1902422520 | Wicare Home Care LLC | Home Health | 2647 Bloomington Ave Ste C1, Minneapolis, MN 55407-1187 | 2020-06-19 |
| 1447875117 | Growth Support Assisted Living LLC | Home Health | 1928 Portland Ave Apt S101, Minneapolis, MN 55404-3469 | 2020-06-09 |
| 1457975195 | Wellness Home Care Inc | Home Health | 319 Garfield St Ne Apt 301, Minneapolis, MN 55413-2626 | 2020-05-28 |
| 1841813433 | Allcare LLC | Home Health | 1005 E 24th St Ste 1001, Minneapolis, MN 55404-3833 | 2020-05-18 |
| 1043832611 | Comfort Living, Inc | Home Health | 2504 16th Ave S, Minneapolis, MN 55404-3906 | 2020-05-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55419 |
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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.