Healthcare Provider Details

I. General information

NPI: 1255220158
Provider Name (Legal Business Name): SERENE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4405 ROYAL ST
PALATKA FL
32177-2472
US

IV. Provider business mailing address

4405 ROYAL ST
PALATKA FL
32177-2472
US

V. Phone/Fax

Practice location:
  • Phone: 386-336-3742
  • 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
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ZYKIA CLARK
Title or Position: OWNER
Credential:
Phone: 386-336-3742