Provider Demographics
NPI:1477857100
Name:SERENITY HOME HEALTHCARE-STERLING
Entity Type:Organization
Organization Name:SERENITY HOME HEALTHCARE-STERLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
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:7036-763-0484
Mailing Address - Street 1:100 EXECUTIVE DR
Mailing Address - Street 2:UNIT A2
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-9507
Mailing Address - Country:US
Mailing Address - Phone:703-763-0484
Mailing Address - Fax:571-313-1377
Practice Address - Street 1:100 EXECUTIVE DR
Practice Address - Street 2:SUITE A2
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-9507
Practice Address - Country:US
Practice Address - Phone:703-763-0484
Practice Address - Fax:571-313-1377
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SERENITY HOME HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-10
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-12715251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health