Healthcare Provider Details

I. General information

NPI: 1073581377
Provider Name (Legal Business Name): SERENITY ADULT DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 PORTAGE TRAIL EXT
AKRON OH
44313-8506
US

IV. Provider business mailing address

1 CANAL SQUARE PLZ APARTMENT 1202
AKRON OH
44308-1037
US

V. Phone/Fax

Practice location:
  • Phone: 330-328-8182
  • Fax:
Mailing address:
  • Phone: 330-328-8182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberRN318069
License Number StateOH

VIII. Authorized Official

Name: MS. JANET MARTHA GREEN
Title or Position: GENERAL PARTNER
Credential: RN
Phone: 330-328-8182