Provider Demographics
NPI:1457180937
Name:SERENITE HOME CARE LLC
Entity type:Organization
Organization Name:SERENITE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOT CHARLOTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SENAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-305-7373
Mailing Address - Street 1:6416 LAS PALMAS WAY
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-9033
Mailing Address - Country:US
Mailing Address - Phone:844-305-7373
Mailing Address - Fax:
Practice Address - Street 1:1359 N MILITARY TRL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6016
Practice Address - Country:US
Practice Address - Phone:844-305-7373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care