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General NPI Number Information
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NPI Number | 1831075134
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Entity Type | Organization
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Legal Business Name | SERENITY HOME CARE AGENCY
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 6291 E 40TH LN
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City | YUMA
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State | AZ
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Zip | 85365-2775
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Country | US
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Telephone | 928-503-8162
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Fax |
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Provider Business Mailing Address
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Address Line | 6291 E 40TH LN
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City | YUMA
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State | AZ
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Zip | 85365-2775
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Country | US
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Telephone | 928-503-8162
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLARISA RAMIREZ
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Credential | CNA
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Telephone | 928-503-8162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 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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