SERENITY PRO HOME CARE LLC
NPI 1104629120
Technician - Personal Care Attendant in Kennedale, TX
NPI Status: Active since March 27, 2025
Contact Information
3100 JOPLIN RD APT 6304
KENNEDALE, TX
ZIP 76060
Phone: (817) 744-9589
- Organization
- Technician
- Personal Care Attendant
About SERENITY PRO HOME CARE LLC
This page provides the complete NPI Profile along with additional information for Serenity Pro Home Care Llc, a provider established in Kennedale, Texas operating as a Technician, focusing in personal care attendant . The healthcare provider is registered in the NPI registry with number 1104629120 assigned on March 2025. The practitioner's primary taxonomy code is 3747P1801X. The provider is registered as an organization and their NPI record was last updated March 2025. The authorized official of this NPI record is Sahra Muse Ibrahim (Administrator)
- NPI
- 1104629120
- Provider Name
- SERENITY PRO HOME CARE LLC
- Entity Type
- Organization
- Location Address
- 3100 JOPLIN RD APT 6304 KENNEDALE, TX 76060
- Location Phone
- (817) 744-9589
- Mailing Address
- 3100 JOPLIN RD APT 6304 KENNEDALE, TX 76060
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-27-2025
- Last Update Date
- 03-27-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Technician Personal Care Attendant
- Taxonomy Code
- 3747P1801X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 6 | 2 | 9 | 1 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 12 | 2 | 18 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 2 + 2 + 1 + 8 + 1 + 4 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1104629120 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104629120, enumerated in the NPI registry as an "organization" on March 27, 2025
The provider is located at 3100 Joplin Rd Apt 6304 Kennedale, Tx 76060 and the phone number is (817) 744-9589
This medical organization specializes in Technician with taxonomy code 3747P1801X with a focus in Personal Care Attendant
This NPI record was last updated on March 27, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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