MEDICARE: SERENIUM HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1043160559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENIUM HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2909 NATALIE DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-4612
Country	:	US
Telephone Number	:	470-729-2983
Fax Number	:

Provider Business Practice Location Address
First Line	:	2909 NATALIE DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-4612
Country	:	US
Telephone Number	:	470-729-2983
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. JONAH LUBIYA MUCKOYA
Credential	:
Telephone Number	:	470-729-2983

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “SERENIUM HEALTHCARE LLC ” Practice Location

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