Healthcare Provider Details

I. General information

NPI: 1457215089
Provider Name (Legal Business Name): SERENE HAVEN OF MASSACHUSETTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 MAIN ST STE 200
CHARLESTOWN MA
02129-1119
US

IV. Provider business mailing address

529 MAIN ST STE 200
CHARLESTOWN MA
02129-1119
US

V. Phone/Fax

Practice location:
  • Phone: 845-274-0707
  • 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

VIII. Authorized Official

Name: SHULAMIS SCHLESINGER
Title or Position: CEO
Credential:
Phone: 845-274-0707