Healthcare Provider Details

I. General information

NPI: 1932003084
Provider Name (Legal Business Name): SERENITY IN SISTERHOOD HOME CARE AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 PROSPECT ST STE REARB
TORRINGTON CT
06790-4937
US

IV. Provider business mailing address

76 STONEHOUSE WAY
TORRINGTON CT
06790-3561
US

V. Phone/Fax

Practice location:
  • Phone: 860-397-6339
  • Fax:
Mailing address:
  • Phone: 959-988-6902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. CRYSTAL SPIRES
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 959-988-6902