Provider Demographics
NPI:1114714300
Name:SERENITY SERVICES AGENCY LLC
Entity type:Organization
Organization Name:SERENITY SERVICES AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OMOLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-416-3338
Mailing Address - Street 1:2000 HENDERSON RD STE 360
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2497
Mailing Address - Country:US
Mailing Address - Phone:773-885-3937
Mailing Address - Fax:
Practice Address - Street 1:2000 HENDERSON RD STE 360
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2497
Practice Address - Country:US
Practice Address - Phone:773-885-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care