Provider Demographics
NPI:1053072959
Name:SERENITY HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:SERENITY HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AVRAHAM
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LEVENSHTEYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-523-9500
Mailing Address - Street 1:75 MONTEBELLO RD STE 106
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-3746
Mailing Address - Country:US
Mailing Address - Phone:845-523-9500
Mailing Address - Fax:
Practice Address - Street 1:75 MONTEBELLO RD STE 106
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-3746
Practice Address - Country:US
Practice Address - Phone:845-523-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No385H00000XRespite Care FacilityRespite Care