Provider Demographics
NPI:1467886481
Name:SERENITY HOME HEALTHCARE-NORFOLK
Entity Type:Organization
Organization Name:SERENITY HOME HEALTHCARE-NORFOLK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HILDIGARD
Authorized Official - Middle Name:N
Authorized Official - Last Name:OFORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-763-0484
Mailing Address - Street 1:249 E LITTLE CREEK RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-2515
Mailing Address - Country:US
Mailing Address - Phone:757-777-9807
Mailing Address - Fax:757-962-8844
Practice Address - Street 1:249 E LITTLE CREEK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-2515
Practice Address - Country:US
Practice Address - Phone:757-777-9807
Practice Address - Fax:757-962-8844
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SERENITY HOME HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-27
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health