A&A SERENITY HOMES LLC — NPI 1164384590 (Licensed & Credentialed In Home Supportive Care in REDFORD, MI)

CMS-1500 Box 24J / 33a • NPI

1164384590

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

253Z00000X

Licensed & Credentialed In Home Supportive Care

Box 32 Service Location & ZIP+4

14020 MINOCK DR, REDFORD, MI, 48239-2935

✓ 9-Digit EDI 837 ZIP+4 (48239-2935)

Practice Phone & Referral Fax

(313) 477-3299

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164384590 (A&A SERENITY HOMES LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164384590` (NPI-2 Organization / Facility)
Provider / Legal Name	A&A SERENITY HOMES LLC
Plain-English Specialty	Licensed & Credentialed In Home Supportive Care NUCC Code: `253Z00000X` (In Home Supportive Care)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	14020 MINOCK DR, REDFORD, MI, 48239-2935
Practice Telephone / Fax	Tel: (313) 477-3299
Administrative Mailing Address	16629 ARDMORE ST, DETROIT, MI, 48235-4093
Enumeration & Last Sync	Enumerated: 2025-11-24 \| CMS Record Updated: 2025-11-24
Authorized Official	ANDREA BEY (Owner/Provider)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

14020 MINOCK DR, REDFORD, MI, 48239-2935

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Plain-English Taxonomy & CMS Crosswalk (253Z00000X)

What Does Taxonomy Code 253Z00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 253Z00000X translates to:
"Licensed & Credentialed In Home Supportive Care"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified In Home Supportive Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A&A SERENITY HOMES LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`174200000X` — Meals Plain English: Licensed & Credentialed Meals	State: N/A \| License: `Verified` \| Primary: Secondary
`177F00000X` — Lodging Plain English: Licensed & Credentialed Lodging	State: N/A \| License: `Verified` \| Primary: Secondary
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`251S00000X` — Community/Behavioral Health Plain English: Licensed & Credentialed Community/Behavioral Health	State: N/A \| License: `Verified` \| Primary: Secondary
`253J00000X` — Foster Care Agency Plain English: Licensed & Credentialed Foster Care Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`310400000X` — Assisted Living Facility Plain English: Licensed & Credentialed Assisted Living Facility	State: N/A \| License: `Verified` \| Primary: Secondary
`3104A0625X` — Assisted Living Facility, Assisted Living, Mental Illness Plain English: Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness	State: N/A \| License: `Verified` \| Primary: Secondary
`3104A0630X` — Assisted Living Facility, Assisted Living, Behavioral Disturbances Plain English: Licensed & Credentialed Assisted Living Facility, Assisted Living, Behavioral Disturbances	State: N/A \| License: `Verified` \| Primary: Secondary
`320600000X` — Residential Treatment Facility, Intellectual and/or Developmental Disabilities Plain English: Licensed & Credentialed Residential Treatment Facility, Intellectual and/or Developmental Disabilities	State: N/A \| License: `Verified` \| Primary: Secondary
`320700000X` — Residential Treatment Facility, Physical Disabilities Plain English: Licensed & Credentialed Residential Treatment Facility, Physical Disabilities	State: N/A \| License: `Verified` \| Primary: Secondary
`320800000X` — Community Based Residential Treatment Facility, Mental Illness Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness	State: N/A \| License: `Verified` \| Primary: Secondary
`320900000X` — Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	State: N/A \| License: `Verified` \| Primary: Secondary
`324500000X` — Substance Abuse Rehabilitation Facility Plain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility	State: N/A \| License: `Verified` \| Primary: Secondary
`385H00000X` — Respite Care Plain English: Licensed & Credentialed Respite Care	State: N/A \| License: `Verified` \| Primary: Secondary
`253Z00000X` — In Home Supportive Care Plain English: Licensed & Credentialed In Home Supportive Care	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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A&A SERENITY HOMES LLC (NPI #1164384590)