Provider Demographics
NPI:1780561837
Name:SERAVA CARE INC.
Entity type:Organization
Organization Name:SERAVA CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TREKENA
Authorized Official - Middle Name:SHALESE
Authorized Official - Last Name:WHIPPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-982-4140
Mailing Address - Street 1:11360 MANATEE DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-3642
Mailing Address - Country:US
Mailing Address - Phone:904-648-7462
Mailing Address - Fax:904-648-7462
Practice Address - Street 1:11360 MANATEE DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-3642
Practice Address - Country:US
Practice Address - Phone:904-648-7462
Practice Address - Fax:904-648-7462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health