Healthcare Provider Details

I. General information

NPI: 1306072210
Provider Name (Legal Business Name): SERENITY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2009
Last Update Date: 09/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 MAIN STREET SUITE 300
NEWTON NJ
07860
US

IV. Provider business mailing address

PO BOX 266
AUGUSTA NJ
07822-0266
US

V. Phone/Fax

Practice location:
  • Phone: 973-300-4110
  • Fax: 973-579-9007
Mailing address:
  • Phone: 973-300-4110
  • Fax: 973-579-9007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS SWARTS
Title or Position: PARTNER
Credential:
Phone: 973-300-4110