Healthcare Provider Details

I. General information

NPI: 1366360232
Provider Name (Legal Business Name): SERENITY RESIDENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4553 GRAND BLVD STE 206
NEW PORT RICHEY FL
34652-5157
US

IV. Provider business mailing address

4553 GRAND BLVD STE 206
NEW PORT RICHEY FL
34652-5157
US

V. Phone/Fax

Practice location:
  • Phone: 727-534-3234
  • Fax:
Mailing address:
  • Phone: 727-534-3234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: JEANETTE PRZYBYSZEWSKI
Title or Position: OWNER/BCBA
Credential:
Phone: 727-534-3234