Provider Demographics
NPI:1033686233
Name:SERENEHANDS HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:SERENEHANDS HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PRINCESS
Authorized Official - Middle Name:MANNY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:763-732-9142
Mailing Address - Street 1:9564 MONROE ST NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434-2539
Mailing Address - Country:US
Mailing Address - Phone:763-732-7142
Mailing Address - Fax:763-600-6102
Practice Address - Street 1:9564 MONROE ST NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-2539
Practice Address - Country:US
Practice Address - Phone:763-732-7142
Practice Address - Fax:763-600-6102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health