Healthcare Provider Details
I. General information
NPI: 1124985635
Provider Name (Legal Business Name): SERENITY CARE NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6288 HAAG RD
LANSING MI
48911-5452
US
IV. Provider business mailing address
6288 HAAG RD
LANSING MI
48911-5452
US
V. Phone/Fax
- Phone: 517-410-1205
- Fax:
- Phone: 517-410-1205
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBIN
SORRELLS
Title or Position: PRESIDENT
Credential:
Phone: 517-410-1205