SERENITY HOME HEALTH CARE SYSTEM INC (NPI# 1720316433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720316433 |
| Entity Type | Organization |
| Organization Name | SERENITY HOME HEALTH CARE SYSTEM INC |
| Practice Address |
400 Selby Ave Suite# M Saint Paul MN 55102-4508 |
| Practice Telephone | 6514934536 |
| Practice Fax Number | 6514934868 |
| Mailing Telephone | 6514934536 |
| Mailing Fax Number | 6514934868 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2017-11-30 |
| Authorized Official Name | MOHAMED T. ALBERT (PRESIDENT/GENERAL MANAGER) |
| Authorized Official Telephone | 9524514149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers | ||
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 251E00000X | Home Health | 345918 | MN | Agencies |
| Street Address |
400 SELBY AVE SUITE# M |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407903875 | Michael Scott Johnson | Chiropractor | 400 Selby Ave, Suite N, Saint Paul, MN 55102-4508 | 2007-01-05 |
| 1275987141 | Rebekah Jean Windschitl | Counselor | 400 Selby Ave, Saint Paul, MN 55102-4508 | 2016-04-18 |
| 1508259599 | Mary Sorensen | Acupuncturist | 400 Selby Ave, Ste G2, Saint Paul, MN 55102-4508 | 2015-03-14 |
| 1962814871 | Assistance In Recovery | Social Worker | 400 Selby Ave, Suite D, Saint Paul, MN 55102-4508 | 2014-05-27 |
| 1740422062 | Selby Acupuncture, LLC | Acupuncturist | 400 Selby Ave, Suite G2, Saint Paul, MN 55102-4508 | 2009-04-01 |
| 1689846172 | Juliana Susan Mccormick | Acupuncturist | 400 Selby Ave, Suite G2, Saint Paul, MN 55102-4508 | 2008-03-25 |
| 1952521676 | Family Chiropractic Plus | Chiropractor | 400 Selby Ave, Suite N, Saint Paul, MN 55102-4508 | 2007-04-26 |
| 1083763767 | Nels Kurt Langsten | Psychiatry & Neurology | 400 Selby Ave, Suite G-4, Saint Paul, MN 55102-4508 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| 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 |
|---|---|---|---|---|
| 1295348381 | Sunshine Group Home LLC | Home Health | 125 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-28 |
| 1780202895 | Mohamed Ibrahim Hussen | Home Health | 2901 Mounds View Blvd Apt 114, Saint Paul, MN 55112-0009 | 2020-07-07 |
| 1457978355 | Sifu Health LLC | Home Health | 1821 University Ave W Ste 319, Saint Paul, MN 55104-4537 | 2020-06-26 |
| 1124641196 | Kindly Care Resident LLC | Home Health | 605 Whitall St, Saint Paul, MN 55130-4155 | 2020-05-25 |
| 1598388753 | Foursyght LLC | Home Health | 275 4th St E Ste 345, Saint Paul, MN 55101-1864 | 2020-05-22 |
| 1245851583 | Kare Home Health Inc | Home Health | 1881 Mechanic Ave Apt 215, Saint Paul, MN 55119-3328 | 2020-04-28 |
| 1548889348 | Happy Home Health Services, Inc. | Home Health | 393 Dunlap St N Ste 400h, Saint Paul, MN 55104-4235 | 2020-04-11 |
| 1891321485 | Reliacare Home Health Inc | Home Health | 883 Saint Anthony Ave, Saint Paul, MN 55104-4736 | 2020-03-16 |
| 1992337893 | Three Stars Group Homes LLC | Home Health | 630 Virginia St, Saint Paul, MN 55103-1757 | 2020-02-08 |
| 1700427291 | Reign Services LLC | Home Health | 8230 Long Lake Rd, Saint Paul, MN 55112-4622 | 2019-10-05 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on SERENITY HOME HEALTH CARE SYSTEM INC.
| 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.