Healthcare Provider Details

I. General information

NPI: 1497498166
Provider Name (Legal Business Name): SERENDIPITY ENTERPRISES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 PAINTERS MILL RD STE 101
OWINGS MILLS MD
21117-5531
US

IV. Provider business mailing address

110 PAINTERS MILL RD STE 101
OWINGS MILLS MD
21117-5531
US

V. Phone/Fax

Practice location:
  • Phone: 410-977-3206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: YOLANDA LITTLE
Title or Position: OWNER
Credential:
Phone: 410-977-3206