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SERENITY HOSPICE HOMES LLC
NPI 1619615218
Hospice Care, Community Based in Brooklyn Park, MN

Active since May 24, 2022CLIA 24D2268451 · Waiver
8948 STRATFORD CT, BROOKLYN PARK, MN 55443(612) 398-6993 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 25, 2023, Dec 15, 2022, May 24, 2022 (3 updates tracked since 2022).

About Serenity Hospice Homes Llc NPPES

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

SERENITY HOSPICE HOMES LLC (NPI 1619615218) is a healthcare organization registered as a hospice care, community based in Brooklyn Park, Minnesota and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through September 12, 2026 and lists Carolyne Ellis, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1619615218
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSERENITY HOSPICE HOMES LLC
Location Address8948 STRATFORD CTBrooklyn Park, MN 55443-2976
Mailing Address8948 Stratford CtBrooklyn Park, MN 55443-2976
Phone(612) 398-6993
Organization SubpartNo
Authorized OfficialCarolyne EllisOwner/president · (612) 398-6993
Enumeration DateMay 24, 2022
Last NPPES UpdateJanuary 25, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1619615218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
8948 STRATFORD CT, Brooklyn Park, MN 55443
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2268451

Serenity Hospice Homes LLC · Brooklyn Park, MN
Active · expires Sep 12, 2026
CLIA Number24D2268451
Laboratory TypeHospice
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorLori Novak
Laboratory Phone(612) 532-2137
Laboratory LocationSerenity Hospice Homes LLC8948 Stratford Ct, Brooklyn Park, MN 55443
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Hospice Homes LLC's NPI number?

The NPI number for Serenity Hospice Homes LLC is 1619615218. It was assigned to this organization in the NPPES registry on May 24, 2022.

Where is Serenity Hospice Homes LLC located?

Serenity Hospice Homes LLC is located at 8948 Stratford Ct, Brooklyn Park, MN 55443. The listed phone number is (612) 398-6993.

What is Serenity Hospice Homes LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Serenity Hospice Homes LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2268451) is associated with this NPI, valid through September 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Serenity Hospice Homes LLC was last updated on January 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.