SERENITY CARE AGENCY , LLC
NPI 1205314200
Home Health in Ridgewood, NY

Active since August 01, 2018
6087 MYRTLE AVE, RIDGEWOOD, NY 11385(718) 717-7426 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Serenity Care Agency , Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY CARE AGENCY , LLC (NPI 1205314200) is a healthcare organization registered as a home health in Ridgewood, New York and active in the NPI registry since August 2018. The organization lists Sonny Pham, President, as its authorized official.

NPPES Registry Identity

NPI1205314200
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSERENITY CARE AGENCY , LLC
Location Address6087 MYRTLE AVERidgewood, NY 11385-5908
Mailing Address6087 Myrtle AveRidgewood, NY 11385-5908 · (718) 717-7426
Organization SubpartNo
Authorized OfficialSonny PhamPresident · (212) 786-2343
Enumeration DateAugust 1, 2018
NPI 1205314200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed · 2500L001
Definition
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.
6087 MYRTLE AVE, Ridgewood, NY 11385

Other Identifiers 1

Other2500L001Lhcsa

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Day Care)
6087 MYRTLE AVE
RIDGEWOOD, NY 11385
Clinic/Center (Adult Day Care)
6087 MYRTLE AVE
RIDGEWOOD, NY 11385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Care Agency , LLC's NPI number?

The NPI number for Serenity Care Agency , LLC is 1205314200. It was assigned to this organization in the NPPES registry on August 1, 2018.

Where is Serenity Care Agency , LLC located?

Serenity Care Agency , LLC is located at 6087 Myrtle Ave, Ridgewood, NY 11385. The listed phone number is (718) 717-7426.

What is Serenity Care Agency , LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Serenity Care Agency , LLC was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.