Healthcare Provider Details

I. General information

NPI: 1144103474
Provider Name (Legal Business Name): SERENE WAY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 BELMONT ST STE 203
BROCKTON MA
02301-5289
US

IV. Provider business mailing address

37 PARKVIEW LN
BROCKTON MA
02302-1960
US

V. Phone/Fax

Practice location:
  • Phone: 617-980-8789
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: YVELANDE BOURSIQUOT
Title or Position: OWNER/ PRESIDENT
Credential:
Phone: 857-247-2272