Provider Demographics
NPI:1255002432
Name:SERENITY NURSING SERVICES, LLC.
Entity Type:Organization
Organization Name:SERENITY NURSING SERVICES, LLC.
Other - Org Name:SERENITY NURSING SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:EFUA
Authorized Official - Last Name:ASARE-BOADU
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RNC
Authorized Official - Phone:704-567-8000
Mailing Address - Street 1:6636 E WT HARRIS BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-5125
Mailing Address - Country:US
Mailing Address - Phone:704-567-8000
Mailing Address - Fax:704-567-4600
Practice Address - Street 1:6636 E WT HARRIS BLVD STE H
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-5125
Practice Address - Country:US
Practice Address - Phone:704-567-8000
Practice Address - Fax:704-567-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care