Healthcare Provider Details

I. General information

NPI: 1205467735
Provider Name (Legal Business Name): SERENDIPITY CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2020
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11901 BUSINESS BLVD STE 1-2
EAGLE RIVER AK
99577-7701
US

IV. Provider business mailing address

11901 BUSINESS BLVD STE 202
EAGLE RIVER AK
99577-7701
US

V. Phone/Fax

Practice location:
  • Phone: 907-313-2300
  • Fax: 907-313-2301
Mailing address:
  • Phone: 907-313-2300
  • Fax: 907-313-2301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE TEEL
Title or Position: MEMBER/BRANCH MANAGER
Credential:
Phone: 79-313-2300