Provider Demographics
NPI:1619636735
Name:SENIOR SERENITY HOME CARE
Entity Type:Organization
Organization Name:SENIOR SERENITY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAKEVA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN-NNAJI
Authorized Official - Suffix:
Authorized Official - Credentials:SONOGRAPHER
Authorized Official - Phone:917-742-8285
Mailing Address - Street 1:3000 EASTCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3202
Mailing Address - Country:US
Mailing Address - Phone:917-742-8285
Mailing Address - Fax:
Practice Address - Street 1:3000 EASTCHESTER RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-3202
Practice Address - Country:US
Practice Address - Phone:917-742-8285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health