Provider Demographics
NPI:1467242263
Name:SERENITY GROUP LLC
Entity type:Organization
Organization Name:SERENITY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNWER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OCTAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-371-7405
Mailing Address - Street 1:SERENITY GROUP LLC
Mailing Address - Street 2:148 LYNDE ST
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176
Mailing Address - Country:US
Mailing Address - Phone:617-371-7405
Mailing Address - Fax:617-371-7405
Practice Address - Street 1:SERENITY GROUP LLC
Practice Address - Street 2:148 LYNDE ST
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-0217
Practice Address - Country:US
Practice Address - Phone:617-371-7405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health