Provider Demographics
NPI:1114752367
Name:SERENITY HOME HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:SERENITY HOME HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KELECHI
Authorized Official - Middle Name:JENNIFER
Authorized Official - Last Name:IKWUEGBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-307-9939
Mailing Address - Street 1:4409 EXPEDITION DR
Mailing Address - Street 2:
Mailing Address - City:OAK POINT
Mailing Address - State:TX
Mailing Address - Zip Code:75068-2088
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4409 EXPEDITION DR
Practice Address - Street 2:
Practice Address - City:OAK POINT
Practice Address - State:TX
Practice Address - Zip Code:75068-2088
Practice Address - Country:US
Practice Address - Phone:682-307-9939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care