Healthcare Provider Details

I. General information

NPI: 1316662380
Provider Name (Legal Business Name): DNA SERENITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2022
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1277 N SEMORAN BLVD STE 109
ORLANDO FL
32807-3573
US

IV. Provider business mailing address

1277 N SEMORAN BLVD STE 109
ORLANDO FL
32807-3573
US

V. Phone/Fax

Practice location:
  • Phone: 813-474-8544
  • Fax:
Mailing address:
  • Phone: 813-474-8544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MRS. DELCINA AUGUSTIN
Title or Position: PRESIDENT/ADMIN
Credential:
Phone: 813-474-8544