Healthcare Provider Details

I. General information

NPI: 1659284511
Provider Name (Legal Business Name): SERENITY QUALITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12131 WASHINGTON AVE
MOUNT MORRIS MI
48458-1596
US

IV. Provider business mailing address

12131 WASHINGTON AVE
MOUNT MORRIS MI
48458-1596
US

V. Phone/Fax

Practice location:
  • Phone: 810-449-2754
  • Fax:
Mailing address:
  • Phone: 810-449-2754
  • 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: KIMBERLY ITSON
Title or Position: OWNER
Credential:
Phone: 810-449-2754