Provider Demographics
NPI:1437846110
Name:SERENITY LUXE HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:SERENITY LUXE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NARLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LESAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-286-2116
Mailing Address - Street 1:9000 SHERIDAN ST STE 92
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8805
Mailing Address - Country:US
Mailing Address - Phone:754-286-2116
Mailing Address - Fax:
Practice Address - Street 1:9000 SHERIDAN ST STE 92
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-8805
Practice Address - Country:US
Practice Address - Phone:754-286-2116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty