Healthcare Provider Details

I. General information

NPI: 1851175731
Provider Name (Legal Business Name): SERENITY LOVING HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 E 270TH ST
EUCLID OH
44132-1601
US

IV. Provider business mailing address

297 E 270TH ST
EUCLID OH
44132-1601
US

V. Phone/Fax

Practice location:
  • Phone: 216-894-1914
  • Fax:
Mailing address:
  • Phone: 216-894-1914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BEVERLY J LAWSON
Title or Position: OWNER
Credential:
Phone: 216-894-1914