Provider Demographics
NPI:1508009903
Name:SERENITY PLUS HOME HEALTH INC.
Entity Type:Organization
Organization Name:SERENITY PLUS HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RADHAKRISHNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PANICKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-455-8630
Mailing Address - Street 1:5200 PAIGE RD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2121
Mailing Address - Country:US
Mailing Address - Phone:214-250-7744
Mailing Address - Fax:214-494-6232
Practice Address - Street 1:106 HOUSTON ST N
Practice Address - Street 2:
Practice Address - City:MT VERNON
Practice Address - State:TX
Practice Address - Zip Code:75457
Practice Address - Country:US
Practice Address - Phone:903-270-6292
Practice Address - Fax:903-201-6766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX012871251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health