MEDICARE: SERENITY HEALTH SERVICES L.L.C

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	332BN1400X	Nursing Facility Supplies (DME)
3	332BX2000X	Oxygen Equipment & Supplies (DME)
4	332BD1200X	Dialysis Equipment & Supplies (DME)
5	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
6	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1063661700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY HEALTH SERVICES L.L.C

Provider Business Mailing Address
First Line	:	5902 ANCIENT OAKS DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-2913
Country	:	US
Telephone Number	:	832-445-7198
Fax Number	:	281-605-1332

Provider Business Practice Location Address
First Line	:	5902 ANCIENT OAKS DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-2913
Country	:	US
Telephone Number	:	832-445-7198
Fax Number	:

Authorized Official
Title or Position	:	OWNER-ADMINISTRATOR
Name	:	MS. LAKEESHA S POSLEY
Credential	:	BS.,MA.,LNFA
Telephone Number	:	832-445-7198

Provider Enumeration Date	:	09/18/2008
Last Update Date	:	06/02/2010

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