Healthcare Provider Details

I. General information

NPI: 1902621097
Provider Name (Legal Business Name): SERENITY HOSPICE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2024
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 GEORGETOWN RD
BORDENTOWN NJ
08505-2405
US

IV. Provider business mailing address

56 GEORGETOWN RD
BORDENTOWN NJ
08505-2405
US

V. Phone/Fax

Practice location:
  • Phone: 609-227-2400
  • Fax:
Mailing address:
  • Phone: 609-227-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: AVROHOM MAIEROVITS
Title or Position: MEMBER
Credential:
Phone: 732-994-4324