SERENITY PERSONAL CARE SERVICE LLC (NPI# 1649821240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649821240 |
| Entity Type | Organization |
| Organization Name | SERENITY PERSONAL CARE SERVICE LLC |
| Practice Address |
103 N Bailey St Monticello AR 71655-4907 |
| Practice Telephone | 8707239040 |
| Mailing Telephone | 8707239040 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | MRS. DENISE YVONNE COURTNEY (MEMBER) |
| Authorized Official Telephone | 8707239049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
103 N BAILEY ST |
| City | MONTICELLO |
| State | AR |
| Zip Code | 71655-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689969891 | Lindsey's Respiratory, L.l.c | Durable Medical Equipment & Medical Supplies | 103 N Bailey St, Monticello, AR 71655-4907 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
| 1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
| 1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
| 1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
| 1568744522 | Britney Leigh Box | Occupational Therapist | 178 W College St, Monticello, AR 71655 | 2011-09-15 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| Find all providers in zip 71655 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922540 | Home Health Care Agency of Arkansas, LLC | Technician | 1200 John Barrow Rd Ste 111, Little Rock, AR 72205-6528 | 2020-11-03 |
| 1770110488 | Roger Barnes | Technician | 4836 Park Ave Ste B, Hot Springs, AR 71901-9477 | 2020-03-24 |
| 1184259210 | Little Joe Scott | Technician | 2702 Amhurst, Magnolia, AR 71753-4216 | 2020-03-09 |
| 1598303968 | Brandon Lee Hutchison | Technician | 152 Birchwood Cir, Cabot, AR 72023-2585 | 2019-12-17 |
| 1417599788 | E & D Private Care Agency | Technician | 3051 Waverly Rd, Proctor, AR 72376 | 2019-10-08 |
| 1275184749 | Home Care Network LLC | Technician | 2607 W 28th Ave, Pine Bluff, AR 71603-4916 | 2019-09-25 |
| 1720639347 | Always Promoting Independence Homecare, LLC | Technician | 1004 Brantley Ave, North Little Rock, AR 72117-2146 | 2019-09-25 |
| 1235784893 | Elite Care, LLC | Technician | 130 West 2nd St., Malvern, AR 72104-3708 | 2019-08-09 |
| 1245791094 | Kim Callicutt | Technician | 110 Block St, Marion, AR 72364-1956 | 2019-03-26 |
| 1912468711 | Eden House Home Care, LLC | Technician | 120 W Tyler Ave Ste 200, West Memphis, AR 72301-4221 | 2019-03-26 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 71655 |
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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.