Provider Demographics
NPI:1225797061
Name:SERENITY FAMILY HOMECARE LLC
Entity type:Organization
Organization Name:SERENITY FAMILY HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOVE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAH
Authorized Official - Suffix:
Authorized Official - Credentials:RT(R)
Authorized Official - Phone:925-766-7292
Mailing Address - Street 1:1210 CENTRAL BLVD STE 116
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-2360
Mailing Address - Country:US
Mailing Address - Phone:925-766-7292
Mailing Address - Fax:877-509-5344
Practice Address - Street 1:1210 CENTRAL BLVD STE 116
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2360
Practice Address - Country:US
Practice Address - Phone:925-766-7292
Practice Address - Fax:877-509-5344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care