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NPI Code Detail

MEDICARE: SERENITY HOME HEALTH AGENCY PLUS

MEDICARE: SERENITY HOME HEALTH AGENCY PLUS
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
1251E00000XHome Health Agency2046820OH

General Provider Information

NPI Number : 1902160633
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERENITY HOME HEALTH AGENCY PLUS
Provider Business Mailing Address
First Line : 1425 E DUBLIN GRANVILLE RD
Second Line : SUITE # 112
City : COLUMBUS
State : OH
Zip : 43229-3325
Country : US
Telephone Number : 614-396-8067
Fax Number : 614-396-8067
Provider Business Practice Location Address
First Line : 1425 E DUBLIN GRANVILLE RD
Second Line : SUITE # 112
City : COLUMBUS
State : OH
Zip : 43229-3325
Country : US
Telephone Number : 614-396-8067
Fax Number : 614-396-8067
Authorized Official
Title or Position : RN/CEO/DON
Name : HAGIA A. SHEIKH
Credential : R.N.
Telephone Number : 614-396-8067
Provider Enumeration Date : 06/27/2012
Last Update Date : 06/27/2012

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Directions to “SERENITY HOME HEALTH AGENCY PLUS ” Practice Location

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