Healthcare Provider Details

I. General information

NPI: 1992514012
Provider Name (Legal Business Name): SERENE SOLUTIONS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 COMMUNITY ST # 16
CHARLOTTESVILLE VA
22911-5602
US

IV. Provider business mailing address

240 MORAGA ST APT 112
CHARLOTTESVILLE VA
22911-3672
US

V. Phone/Fax

Practice location:
  • Phone: 434-443-0628
  • Fax: 434-367-0402
Mailing address:
  • Phone: 434-443-0628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MISS JUANITA SAUNDERS
Title or Position: ADMINSTRATOR
Credential:
Phone: 434-443-0628