Healthcare Provider Details

I. General information

NPI: 1669382891
Provider Name (Legal Business Name): SERENITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 SMUGGLERS WAY
APOPKA FL
32712-3423
US

IV. Provider business mailing address

260 SMUGGLERS WAY
APOPKA FL
32712-3423
US

V. Phone/Fax

Practice location:
  • Phone: 561-441-8490
  • Fax:
Mailing address:
  • Phone: 561-441-8490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: TIMISHA MACK
Title or Position: OWNER
Credential:
Phone: 561-441-8490