Healthcare Provider Details

I. General information

NPI: 1386536498
Provider Name (Legal Business Name): SERENITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 GERRY LN
ALTON ME
04468-4143
US

IV. Provider business mailing address

5 GERRY LN
ALTON ME
04468-4143
US

V. Phone/Fax

Practice location:
  • Phone: 207-745-8511
  • Fax:
Mailing address:
  • Phone: 207-745-8511
  • 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: MR. WILLIAM S COUNTRYMAN SR.
Title or Position: CEO
Credential:
Phone: 207-745-8511