Healthcare Provider Details

I. General information

NPI: 1508647439
Provider Name (Legal Business Name): SERENITY CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 TALBOTTON RD STE C
COLUMBUS GA
31904-8851
US

IV. Provider business mailing address

909 TALBOTTON RD STE C
COLUMBUS GA
31904-8851
US

V. Phone/Fax

Practice location:
  • Phone: 251-359-0181
  • Fax:
Mailing address:
  • Phone: 251-359-0181
  • 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 Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CANDICE BROOKS
Title or Position: MANAGER/OWNER
Credential:
Phone: 251-359-0181