Provider Demographics
NPI:1659038172
Name:AGING WITH SERENITY LLC
Entity Type:Organization
Organization Name:AGING WITH SERENITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ESMERALDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-813-1024
Mailing Address - Street 1:1211 COZY OAK LNDG
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2380
Mailing Address - Country:US
Mailing Address - Phone:410-680-6234
Mailing Address - Fax:
Practice Address - Street 1:1211 COZY OAK LNDG
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2380
Practice Address - Country:US
Practice Address - Phone:410-680-6234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-18
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty