Provider Demographics
NPI:1730956608
Name:SERENITY HOME CARE FACILITIES LLC
Entity type:Organization
Organization Name:SERENITY HOME CARE FACILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAEZEAPU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-210-6472
Mailing Address - Street 1:25654 PAPILLON CT
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92585-8878
Mailing Address - Country:US
Mailing Address - Phone:951-878-7075
Mailing Address - Fax:951-595-4905
Practice Address - Street 1:284 MORONI AVE
Practice Address - Street 2:
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-4123
Practice Address - Country:US
Practice Address - Phone:951-878-7075
Practice Address - Fax:951-595-4905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care