Provider Demographics
NPI:1790486579
Name:SERENITY HOMEMAKER AND COMPANION SERVICES LLC
Entity Type:Organization
Organization Name:SERENITY HOMEMAKER AND COMPANION SERVICES LLC
Other - Org Name:SERENITY HOMEMAKER AND COMPANION SERVICES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LABRINA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-341-1705
Mailing Address - Street 1:409 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-8236
Mailing Address - Country:US
Mailing Address - Phone:407-341-1705
Mailing Address - Fax:
Practice Address - Street 1:409 1ST ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-8236
Practice Address - Country:US
Practice Address - Phone:407-341-1705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services