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NPI Code Detail

MEDICARE: DOUBLE DOSE SERENITY CARE L.L.C

MEDICARE: DOUBLE DOSE SERENITY CARE L.L.C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2251E00000XHome Health Agency
3251J00000XNursing Care Agency
4343900000XNon-emergency Medical Transport (VAN)
5385H00000XRespite Care
6385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
7253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1700643509
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOUBLE DOSE SERENITY CARE L.L.C
Provider Business Mailing Address
First Line : 302 E CARSON AVE STE 1044
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-5909
Country : US
Telephone Number : 725-333-8591
Fax Number : 725-333-8591
Provider Business Practice Location Address
First Line : 302 E CARSON AVE STE 1044
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-5909
Country : US
Telephone Number : 725-333-8591
Fax Number : 725-333-8591
Authorized Official
Title or Position : CEO
Name : JONOSHA BOOTH
Credential :
Telephone Number : 725-333-8591
Provider Enumeration Date : 02/28/2024
Last Update Date : 02/18/2025

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