Healthcare Provider Details

I. General information

NPI: 1275421869
Provider Name (Legal Business Name): HOME CARE WITH SERENITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 4TH ST N # 27351
SAINT PETERSBURG FL
33702-4305
US

IV. Provider business mailing address

7901 4TH ST N # 27351
SAINT PETERSBURG FL
33702-4305
US

V. Phone/Fax

Practice location:
  • Phone: 727-261-2176
  • Fax: 727-261-2176
Mailing address:
  • Phone: 727-261-2176
  • Fax: 727-261-2176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: SHADONNA FREENEY
Title or Position: CEO/ MANAGER
Credential:
Phone: 727-261-2176