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SERENITY SENIOR CARE
NPI 1811106925
Home Health in Bloomfield, NJ

Active since May 22, 2007
20 STONE ST, BLOOMFIELD, NJ 07003(973) 338-0124(973) 338-0080 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Serenity Senior Care NPPES

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

SERENITY SENIOR CARE (NPI 1811106925) is a healthcare organization registered as a home health in Bloomfield, New Jersey and active in the NPI registry since May 2007. The organization maintains a secondary practice location in Bloomfield and lists Wanda E Ince, General Partner, as its authorized official.

NPPES Registry Identity

NPI1811106925
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSERENITY SENIOR CARE
Location Address20 STONE STBloomfield, NJ 07003-4034
Mailing Address2 Broad St Ste 208Bloomfield, NJ 07003-2548 · (973) 338-0124 · Fax (973) 338-0080
Phone(973) 338-0124
Fax(973) 338-0080
Organization SubpartNo
Authorized OfficialWanda E InceGeneral Partner · (973) 338-0124
Enumeration DateMay 22, 2007
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1811106925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
20 STONE ST, Bloomfield, NJ 07003
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Secondary Practice Location 1

Location 12 Broad St Ste 208Bloomfield, NJ 07003-2548 · Phone (973) 338-0124 · Fax (973) 338-0080

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 31D2150960

Serenity Senior Care, LLC · Bloomfield, NJ
Expired · Jul 8, 2026
CLIA Number31D2150960
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 9, 2024
Certificate Expiration DateJuly 8, 2026
Laboratory DirectorWanda E. Ince
Laboratory Phone(973) 338-0124
Laboratory LocationSerenity Senior Care, LLC2 Broad Street Suite 208, Bloomfield, NJ 07003
CLIA data matches this NPI record on: Address Name Phone
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 Senior Care's NPI number?

The NPI number for Serenity Senior Care is 1811106925. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Serenity Senior Care located?

Serenity Senior Care is located at 20 Stone St, Bloomfield, NJ 07003. The listed phone number is (973) 338-0124.

What is Serenity Senior Care'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 Senior Care was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.