Provider Demographics
NPI:1306072210
Name:SERENITY HEALTHCARE LLC
Entity type:Organization
Organization Name:SERENITY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-300-4110
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07822-0266
Mailing Address - Country:US
Mailing Address - Phone:973-300-4110
Mailing Address - Fax:973-579-9007
Practice Address - Street 1:93 MAIN STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860
Practice Address - Country:US
Practice Address - Phone:973-300-4110
Practice Address - Fax:973-579-9007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty