Healthcare Provider Details

I. General information

NPI: 1043012503
Provider Name (Legal Business Name): SERENITY CARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10999 REED HARTMAN HWY STE 309A
BLUE ASH OH
45242-8304
US

IV. Provider business mailing address

10999 REED HARTMAN HWY STE 309A
BLUE ASH OH
45242-8304
US

V. Phone/Fax

Practice location:
  • Phone: 513-400-5113
  • Fax: 513-496-3434
Mailing address:
  • Phone: 513-400-5113
  • Fax: 513-496-3434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BIGNON DEGUENON
Title or Position: CFO/COO
Credential:
Phone: 513-400-5113