Provider Demographics
NPI:1275421869
Name:HOME CARE WITH SERENITY LLC
Entity type:Organization
Organization Name:HOME CARE WITH SERENITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHADONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FREENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-261-2176
Mailing Address - Street 1:7901 4TH ST N # 27351
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-4305
Mailing Address - Country:US
Mailing Address - Phone:727-261-2176
Mailing Address - Fax:727-261-2176
Practice Address - Street 1:7901 4TH ST N # 27351
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4305
Practice Address - Country:US
Practice Address - Phone:727-261-2176
Practice Address - Fax:727-261-2176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty