Healthcare Provider Details

I. General information

NPI: 1295654283
Provider Name (Legal Business Name): SERENE MERCY NURSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21300 N JOHN WAYNE PKWY STE 101
MARICOPA AZ
85139-8964
US

IV. Provider business mailing address

21300 N JOHN WAYNE PKWY STE 101
MARICOPA AZ
85139-8964
US

V. Phone/Fax

Practice location:
  • Phone: 480-330-8399
  • Fax:
Mailing address:
  • Phone: 480-330-8399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MERCY WAWERU
Title or Position: CEO
Credential:
Phone: 480-330-8399