Provider Demographics
NPI:1891156691
Name:SERENITY HOME HEALTHCARE-WARRENTON
Entity Type:Organization
Organization Name:SERENITY HOME HEALTHCARE-WARRENTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANA
Authorized Official - Middle Name:A
Authorized Official - Last Name:QUANSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-763-0484
Mailing Address - Street 1:195 KEITH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-3231
Mailing Address - Country:US
Mailing Address - Phone:703-763-0484
Mailing Address - Fax:540-680-2641
Practice Address - Street 1:195 KEITH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3231
Practice Address - Country:US
Practice Address - Phone:703-763-0484
Practice Address - Fax:540-680-2641
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SERENITY HOME HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-161415251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health