Provider Demographics
NPI:1508641424
Name:SERENITY CARE FACILITIES LLC
Entity Type:Organization
Organization Name:SERENITY CARE FACILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIVKY
Authorized Official - Middle Name:
Authorized Official - Last Name:F
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-579-2178
Mailing Address - Street 1:1358 HOOPER AVE # 289
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2882
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:406 FULTON ST STE 513
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-3359
Practice Address - Country:US
Practice Address - Phone:845-579-2178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SERENITY CARE FACILITIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing