Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.
NPI 1558270157
Custodial Care Facility - Adult Care Home in Antioch, TN
Active since September 02, 2026
About NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NPPES Registry Identity
NPI1558270157
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Location Address4541 HAMILTON LNAntioch, TN 37013-5486
Mailing Address4541 Hamilton LnAntioch, TN 37013-5486 · (615) 606-5246
Phone(615) 606-5246
Organization SubpartNo
Authorized OfficialFrasheta StuartManaging Member · (615) 606-5246
Enumeration DateSeptember 2, 2026
Last NPPES UpdateSeptember 3, 2026
NPPES CertifiedSeptember 3, 2026
✔ NPI 1558270157 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 4
★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedTransportation Network CompanyTaxonomy 342000000X
4541 HAMILTON LN, Antioch, TN 37013
Other Names 1
Doing Business AsSereniti Services Llc
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.