Provider Demographics
NPI:1801395868
Name:SERENITY PROMISE HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:SERENITY PROMISE HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILBETE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-764-9561
Mailing Address - Street 1:1360 E. 88TH ST.
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5118
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1360 E. 88TH ST.
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-5118
Practice Address - Country:US
Practice Address - Phone:347-764-9561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health