Healthcare Provider Details

I. General information

NPI: 1568900330
Provider Name (Legal Business Name): SERENITY HOME SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2017
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5930 HOHMAN AVE STE 212
HAMMOND IN
46320-3051
US

IV. Provider business mailing address

5930 HOHMAN AVE STE 212
HAMMOND IN
46320-3051
US

V. Phone/Fax

Practice location:
  • Phone: 219-937-2890
  • Fax:
Mailing address:
  • Phone: 219-937-2890
  • 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
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number013887
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number013887
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number013887
License Number StateIN

VIII. Authorized Official

Name: AYOWALE ALAO
Title or Position: PRESIDENT
Credential:
Phone: 312-719-3339