Healthcare Provider Details

I. General information

NPI: 1437573888
Provider Name (Legal Business Name): SERENITY ADULT DAYCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2014
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9720 99TH ST FL 2
OZONE PARK NY
11416-2602
US

IV. Provider business mailing address

9720 99TH ST FL 2
OZONE PARK NY
11416-2602
US

V. Phone/Fax

Practice location:
  • Phone: 718-849-0300
  • Fax:
Mailing address:
  • Phone: 718-849-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. VYACHESLAV BIZYAYEV
Title or Position: CEO
Credential:
Phone: 718-849-0300