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General NPI Number Information
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NPI Number | 1871300772
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Entity Type | Organization
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Legal Business Name | SERENITY SENIOR SERVICES LLC
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 576 HOLCOMBE AVE
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City | MOBILE
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State | AL
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Zip | 36606
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Country | US
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Telephone | 251-459-0601
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Fax |
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Provider Business Mailing Address
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Address Line | 576 HOLCOMBE AVE
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City | MOBILE
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State | AL
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Zip | 36606
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Country | US
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Telephone | 251-459-0601
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Fax |
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Authorized Official
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Title or Position | OWN
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Name | MS. TOMEKA LASHAY THOMPSON
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Credential |
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Telephone | 251-459-0601
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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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Taxonomy #2
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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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 | 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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Taxonomy #4
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #6
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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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