Healthcare Provider Details

I. General information

NPI: 1528864949
Provider Name (Legal Business Name): SERENITY HOMECARE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1248 EDGEWOOD AVE W STE 3-101
JACKSONVILLE FL
32208-2797
US

IV. Provider business mailing address

1248 EDGEWOOD AVE W STE 3-101
JACKSONVILLE FL
32208-2797
US

V. Phone/Fax

Practice location:
  • Phone: 800-511-1928
  • Fax:
Mailing address:
  • Phone: 800-511-1928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: ADRIENNE DELANCY
Title or Position: OPERATING MANAGER
Credential:
Phone: 800-511-1928