Healthcare Provider Details

I. General information

NPI: 1326951237
Provider Name (Legal Business Name): SERENITY HOMECARE MICHIGAN 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

2222 W GRAND RIVER AVE
OKEMOS MI
48864-1604
US

IV. Provider business mailing address

2222 W GRAND RIVER AVE
OKEMOS MI
48864-1604
US

V. Phone/Fax

Practice location:
  • Phone: 509-768-2249
  • Fax:
Mailing address:
  • Phone: 509-768-2249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ALMUSTAFA REIFA
Title or Position: OWNER
Credential:
Phone: 860-770-1954