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General NPI Number Information
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NPI Number | 1831041268
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Entity Type | Organization
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Legal Business Name | SERENITY HEALTH CARE, LLC
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 1127 CHEERY LN NE
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-1952
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Country | US
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Telephone | 612-384-6551
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Fax | 952-674-4315
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Provider Business Mailing Address
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Address Line | 1127 CHEERY LN NE
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-1952
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Country | US
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Telephone | 612-384-6551
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Fax | 952-674-4315
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | MR. TYRONE DANIELS
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Credential |
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Telephone | 612-384-6551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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