=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457208530
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TENDER CARE SERENITY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/16/2026
-----------------------------------------------------
Last Update Date | 03/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1363 JACKLIN RD
-----------------------------------------------------
City | MILPITAS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95035-3426
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-916-5797
-----------------------------------------------------
Fax | 408-599-7207
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1363 JACKLIN RD
-----------------------------------------------------
City | MILPITAS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95035-3426
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-916-5797
-----------------------------------------------------
Fax | 408-599-7207
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ADMINISTRATOR
-----------------------------------------------------
Name | AUGUSTINE ATTAH
-----------------------------------------------------
Credential | CPT-II
-----------------------------------------------------
Telephone | 408-916-5797
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------