Provider Demographics
NPI:1063661700
Name:SERENITY HEALTH SERVICES L.L.C
Entity Type:Organization
Organization Name:SERENITY HEALTH SERVICES L.L.C
Other - Org Name:SERENITY DURABLE MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER-ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAKEESHA
Authorized Official - Middle Name:S
Authorized Official - Last Name:POSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS,MA,LNFA
Authorized Official - Phone:832-445-7198
Mailing Address - Street 1:5902 ANCIENT OAKS DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2913
Mailing Address - Country:US
Mailing Address - Phone:832-445-7198
Mailing Address - Fax:281-605-1332
Practice Address - Street 1:5902 ANCIENT OAKS DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2913
Practice Address - Country:US
Practice Address - Phone:832-445-7198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies