Provider Demographics
NPI:1033416615
Name:SERENITY HOME CARE SERVICES INC
Entity type:Organization
Organization Name:SERENITY HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:CASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-294-1462
Mailing Address - Street 1:PO BOX 3418
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28111-3418
Mailing Address - Country:US
Mailing Address - Phone:704-294-1462
Mailing Address - Fax:704-635-7088
Practice Address - Street 1:103 W FRANKLIN ST
Practice Address - Street 2:SUITE 215
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-4709
Practice Address - Country:US
Practice Address - Phone:704-294-1462
Practice Address - Fax:704-635-7088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care