Provider Demographics
NPI:1992372999
Name:SERENITY CARE CENTERS USA, INC
Entity type:Organization
Organization Name:SERENITY CARE CENTERS USA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-362-5381
Mailing Address - Street 1:2270 VALOR DR APT 204
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6108
Mailing Address - Country:US
Mailing Address - Phone:703-362-5381
Mailing Address - Fax:
Practice Address - Street 1:549 VALLEY MILL RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-6246
Practice Address - Country:US
Practice Address - Phone:703-362-5381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health