Provider Demographics
NPI:1346658267
Name:SARENITY HOME HEALTH, LLC
Entity Type:Organization
Organization Name:SARENITY HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:M
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-209-5752
Mailing Address - Street 1:901 ROBINWOOD AVE
Mailing Address - Street 2:BUILDING F
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1781
Mailing Address - Country:US
Mailing Address - Phone:614-209-5752
Mailing Address - Fax:
Practice Address - Street 1:901 ROBINWOOD AVE
Practice Address - Street 2:BUILDING F
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1781
Practice Address - Country:US
Practice Address - Phone:614-209-5752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-23
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health