Healthcare Provider Details

I. General information

NPI: 1831075134
Provider Name (Legal Business Name): SERENITY HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6291 E 40TH LN
YUMA AZ
85365-2775
US

IV. Provider business mailing address

6291 E 40TH LN
YUMA AZ
85365-2775
US

V. Phone/Fax

Practice location:
  • Phone: 928-503-8162
  • Fax:
Mailing address:
  • Phone: 928-503-8162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CLARISA RAMIREZ
Title or Position: OWNER
Credential: CNA
Phone: 928-503-8162