Provider Demographics
NPI:1841521531
Name:SERENITY ELDER CARE SERVICES
Entity type:Organization
Organization Name:SERENITY ELDER CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-522-1659
Mailing Address - Street 1:3414 EDWARDS RD
Mailing Address - Street 2:12
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-2106
Mailing Address - Country:US
Mailing Address - Phone:513-522-1659
Mailing Address - Fax:
Practice Address - Street 1:3414 EDWARD RD.
Practice Address - Street 2:SUITE 12
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208
Practice Address - Country:US
Practice Address - Phone:513-522-1659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1897587311ZA0620X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home