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NPI 1508743592

NPI 1508743592 : HANDS OF SERENITY HOME HEALTH, LLC : HENRICO, VA

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General NPI Number Information
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    NPI Number           |    1508743592
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    Entity Type          |    Organization 
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    Legal Business Name  |    HANDS OF SERENITY HOME HEALTH, LLC 
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Dates
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    Enumeration Date     |    08/20/2025
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    6001 LAKESIDE AVE STE 36 
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    City                 |    HENRICO
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    State                |    VA
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    Zip                  |    23228-5749
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    Country              |    US
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    Telephone            |    804-814-7375
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    Fax                  |    804-988-5250
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Provider Business Mailing Address
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    Address Line         |    12300 ROCK HILL RD UNIT 3299 
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    City                 |    CHESTER
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    State                |    VA
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    Zip                  |    23831-2411
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    Country              |    US
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    Telephone            |    804-814-7375
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    Fax                  |    804-988-5250
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. KAYANNA MONET DENNIS 
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    Credential           |    
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    Telephone            |    804-814-7375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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