Provider Demographics
NPI:1306024450
Name:SERENITY HOME CARE, INC.
Entity Type:Organization
Organization Name:SERENITY HOME CARE, INC.
Other - Org Name:SERENITY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:210-340-0411
Mailing Address - Street 1:2819 WOODCLIFFE ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5143
Mailing Address - Country:US
Mailing Address - Phone:210-340-0411
Mailing Address - Fax:210-340-0424
Practice Address - Street 1:2819 WOODCLIFFE ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5143
Practice Address - Country:US
Practice Address - Phone:210-340-0411
Practice Address - Fax:210-340-0424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009535251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health