Provider Demographics
NPI:1447137955
Name:SERENE HOME HEALTH AGENCY
Entity type:Organization
Organization Name:SERENE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JALYN
Authorized Official - Middle Name:LANAE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:STNA
Authorized Official - Phone:513-815-2512
Mailing Address - Street 1:909 REGAL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41051-9350
Mailing Address - Country:US
Mailing Address - Phone:513-815-2512
Mailing Address - Fax:
Practice Address - Street 1:909 REGAL RIDGE DR
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:KY
Practice Address - Zip Code:41051-9350
Practice Address - Country:US
Practice Address - Phone:513-815-2512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health