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General NPI Number Information
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NPI Number | 1336061183
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Entity Type | Organization
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Legal Business Name | SERENA HOME HEALTHCARE L.L.C
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 20627 GLENMERE SQ
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City | STERLING
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State | VA
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Zip | 20165-3563
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Country | US
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Telephone | 703-488-8984
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Fax |
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Provider Business Mailing Address
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Address Line | 20627 GLENMERE SQ
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City | STERLING
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State | VA
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Zip | 20165-3563
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Country | US
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Telephone | 703-488-8984
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DUAA IDAIS
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Credential |
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Telephone | 703-488-8984
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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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