Provider Demographics
NPI:1548627425
Name:SERENITY HOME HEALTH LLP
Entity type:Organization
Organization Name:SERENITY HOME HEALTH LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BODELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-439-6904
Mailing Address - Street 1:PO BOX 946
Mailing Address - Street 2:
Mailing Address - City:WHITE SULPHUR SPRINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59645-0946
Mailing Address - Country:US
Mailing Address - Phone:406-439-6904
Mailing Address - Fax:866-267-2440
Practice Address - Street 1:14 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITE SULPHUR SPRINGS
Practice Address - State:MT
Practice Address - Zip Code:59645-9000
Practice Address - Country:US
Practice Address - Phone:406-439-6904
Practice Address - Fax:866-267-2440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-22
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN-31772251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health