Healthcare Provider Details

I. General information

NPI: 1619843042
Provider Name (Legal Business Name): SERENITY HOME HEALTH & CAREGIVER SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 CATTLEMAN CT
SEMMES AL
36575-7274
US

IV. Provider business mailing address

1690 CATTLEMAN CT
SEMMES AL
36575-7274
US

V. Phone/Fax

Practice location:
  • Phone: 251-525-5117
  • Fax:
Mailing address:
  • Phone: 251-525-5117
  • Fax:

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 Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS CHESTNUT
Title or Position: OWNER
Credential: CNA
Phone: 251-525-5117