1. Home
  2. Directory
  3. Minnesota
  4. Saint Paul
  5. Home Health
  6. NPI Profile

SERENITY HOME HEALTH CARE SYSTEM INC
NPI 1720316433
Home Health in Saint Paul, MN

Active since November 19, 2009CLIA 24D2340391 · Waiver
400 SELBY AVE STE M, SAINT PAUL, MN 55102(651) 493-4536(651) 493-4868 Get Directions Write a Review

NPPES record last updated: May 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2026, May 10, 2026, Apr 9, 2026 and 1 more (4 updates tracked since 2017).

About Serenity Home Health Care System Inc NPPES

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

SERENITY HOME HEALTH CARE SYSTEM INC (NPI 1720316433), doing business as Serenity Home Health Care System, is a healthcare organization registered as a home health in Saint Paul, Minnesota and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Khadir Tababouanga Albert, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1720316433
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSERENITY HOME HEALTH CARE SYSTEM INC
Location Address400 SELBY AVE STE MSaint Paul, MN 55102-4520
Mailing Address400 Selby Ave Ste MSaint Paul, MN 55102-4520 · (651) 493-4536 · Fax (651) 493-4868
Phone(651) 493-4536
Fax(651) 493-4868
Organization SubpartNo
Authorized OfficialKhadir Tababouanga AlbertOwner/president · (952) 210-4481
Enumeration DateNovember 19, 2009
Last NPPES UpdateMay 16, 20264 updates tracked since enumeration
NPPES CertifiedMay 16, 2026
✔ NPI 1720316433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedHomemakerTaxonomy 376J00000X
Also ListedRespite CareTaxonomy 385H00000X
400 SELBY AVE STE M, Saint Paul, MN 55102
Open in Google Maps ↗

Other Names 1

Doing Business AsSerenity Home Health Care System

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 24D2340391

Serenity Home Health Care System Inc · Saint Paul, MN
Active · expires Mar 16, 2028
CLIA Number24D2340391
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorAlbert Khadir
Laboratory Phone(651) 493-4536
Laboratory LocationSerenity Home Health Care System Inc400 Selby Ave, Suite M, Saint Paul, MN 55102
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Serenity Home Health Care Inc (CMS certification number 248159), from CMS Care Compare.

Serenity Home Health Care Inc

Home health agency · St Paul, MN
CMS Certification Number248159
Medicare-Certified SinceOctober 5, 2022
Phone(651) 350-7100

Other Providers at the Same Location NPPES

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

KHADIR T ALBERT
Home Health Aide
400 SELBY AVE STE M
SAINT PAUL, MN 55102
Ramsey County (952) 210-4481

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 Home Health Care System Inc's NPI number?

The NPI number for Serenity Home Health Care System Inc is 1720316433. It was assigned to this organization in the NPPES registry on November 19, 2009. The provider is doing business as Serenity Home Health Care System.

Where is Serenity Home Health Care System Inc located?

Serenity Home Health Care System Inc is located at 400 Selby Ave Ste M, Saint Paul, MN 55102. The listed phone number is (651) 493-4536.

What is Serenity Home Health Care System Inc's specialty?

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

Does Serenity Home Health Care System Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2340391) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Serenity Home Health Care System Inc a Medicare-certified home health agency?

Yes. Serenity Home Health Care Inc is a Medicare-certified home health agency, certified since October 5, 2022.

When was this NPI record last updated?

The NPPES record for Serenity Home Health Care System Inc was last updated on May 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.