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General NPI Number Information
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NPI Number | 1326839861
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Entity Type | Organization
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Legal Business Name | SERENITY CARE HOMES
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 20001 EVERGREEN MEADOWS RD
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City | SOUTHFIELD
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State | MI
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Zip | 48076-4214
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Country | US
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Telephone | 313-418-6594
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Fax |
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Provider Business Mailing Address
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Address Line | 13511 ROYAL GRAND
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City | REDFORD
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State | MI
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Zip | 48239-2668
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DESHAWN COLLINS
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Credential |
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Telephone | 313-418-6594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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