Healthcare Provider Details

I. General information

NPI: 1952003345
Provider Name (Legal Business Name): SERENITY CARE CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42537 W SANTA FE ST
MARICOPA AZ
85138-4386
US

IV. Provider business mailing address

42537 W SANTA FE ST
MARICOPA AZ
85138-4386
US

V. Phone/Fax

Practice location:
  • Phone: 480-577-2958
  • Fax:
Mailing address:
  • Phone: 480-577-2958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: TANESHA HOLLAND
Title or Position: OWNER
Credential:
Phone: 520-340-1812