Provider Demographics
NPI:1609387489
Name:OASIS OF SERENITY HOMECARE, LLC
Entity Type:Organization
Organization Name:OASIS OF SERENITY HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAY FLOR
Authorized Official - Middle Name:ESTORQUE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-474-7427
Mailing Address - Street 1:368 CYPRESS KNEE LN
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-7106
Mailing Address - Country:US
Mailing Address - Phone:407-513-2485
Mailing Address - Fax:407-871-2378
Practice Address - Street 1:368 CYPRESS KNEE LN
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-7106
Practice Address - Country:US
Practice Address - Phone:407-513-2485
Practice Address - Fax:407-871-2378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234704376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty