Healthcare Provider Details

I. General information

NPI: 1730012071
Provider Name (Legal Business Name): SERENE SENIOR HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2161 E BIG BEAVER RD APT 105
TROY MI
48083-2384
US

IV. Provider business mailing address

22430 GRATIOT AVE P.O BOX 690
EASTPOINTE MI
48021-7048
US

V. Phone/Fax

Practice location:
  • Phone: 248-991-4968
  • Fax:
Mailing address:
  • Phone:
  • 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: TIERRA SAWYER
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 248-991-4968