Provider Demographics
NPI:1083769996
Name:SERENE CARE INC
Entity Type:Organization
Organization Name:SERENE CARE INC
Other - Org Name:SERENE HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V. PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-951-8565
Mailing Address - Street 1:1180 FRANKLIN RD SE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8900
Mailing Address - Country:US
Mailing Address - Phone:770-951-8565
Mailing Address - Fax:770-951-0575
Practice Address - Street 1:1180 FRANKLIN RD SE
Practice Address - Street 2:SUITE 102
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8900
Practice Address - Country:US
Practice Address - Phone:770-951-8565
Practice Address - Fax:770-951-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based