Provider Demographics
NPI:1902160633
Name:SERENITY HOME HEALTH AGENCY PLUS
Entity Type:Organization
Organization Name:SERENITY HOME HEALTH AGENCY PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/CEO/DON
Authorized Official - Prefix:
Authorized Official - First Name:HAGIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-396-8067
Mailing Address - Street 1:1425 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:SUITE # 112
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3325
Mailing Address - Country:US
Mailing Address - Phone:614-396-8067
Mailing Address - Fax:614-396-8067
Practice Address - Street 1:1425 E DUBLIN GRANVILLE RD
Practice Address - Street 2:SUITE # 112
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3325
Practice Address - Country:US
Practice Address - Phone:614-396-8067
Practice Address - Fax:614-396-8067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2046820251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health