Provider Demographics
NPI:1023358215
Name:SERENITY HOME HEALTH, INC.
Entity Type:Organization
Organization Name:SERENITY HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:440-855-2681
Mailing Address - Street 1:5618 STATE ROUTE 7
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44003-9776
Mailing Address - Country:US
Mailing Address - Phone:440-689-0698
Mailing Address - Fax:440-689-0697
Practice Address - Street 1:5618 STATE ROUTE 7
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:OH
Practice Address - Zip Code:44003-9776
Practice Address - Country:US
Practice Address - Phone:440-689-0698
Practice Address - Fax:440-689-0697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2164240251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health