Provider Demographics
NPI:1013541853
Name:SERENITY HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:SERENITY HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:GIOVANNETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-742-8213
Mailing Address - Street 1:595 STEFFANIE WAY
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-1219
Mailing Address - Country:US
Mailing Address - Phone:775-742-8213
Mailing Address - Fax:
Practice Address - Street 1:610 S 18TH ST
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-5518
Practice Address - Country:US
Practice Address - Phone:775-409-4286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care