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General NPI Number Information
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NPI Number | 1225797061
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Entity Type | Organization
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Legal Business Name | SERENITY FAMILY HOMECARE LLC
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1210 CENTRAL BLVD STE 116
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City | BRENTWOOD
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State | CA
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Zip | 94513-2360
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Country | US
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Telephone | 925-766-7292
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Fax | 877-509-5344
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Provider Business Mailing Address
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Address Line | 1210 CENTRAL BLVD STE 116
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City | BRENTWOOD
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State | CA
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Zip | 94513-2360
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Country | US
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Telephone | 925-766-7292
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Fax | 877-509-5344
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Authorized Official
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Title or Position | CEO
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Name | MRS. LOVE LAH
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Credential | RT(R)
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Telephone | 925-766-7292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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