Healthcare Provider Details

I. General information

NPI: 1144612086
Provider Name (Legal Business Name): SERENDIPITY LOVING CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 08/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 MAGUIRE RD
OCOEE FL
34761-4797
US

IV. Provider business mailing address

11002 LAKE BUTLER BLVD
WINDERMERE FL
34786-7806
US

V. Phone/Fax

Practice location:
  • Phone: 407-801-3635
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MIKAEL SEAN OAKLEY
Title or Position: PRESIDENT
Credential:
Phone: 407-790-1473