MEDICARE: SERENITY SERVICES AGENCY 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1114714300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY SERVICES AGENCY LLC

Provider Business Mailing Address
First Line	:	2000 HENDERSON RD STE 360
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2497
Country	:	US
Telephone Number	:	773-885-3937
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 HENDERSON RD STE 360
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2497
Country	:	US
Telephone Number	:	773-885-3937
Fax Number	:

Authorized Official
Title or Position	:	OWNER/VICE PRESIDENT
Name	:	OMOLARA ALAO
Credential	:
Telephone Number	:	773-416-3338

Provider Enumeration Date	:	04/22/2025
Last Update Date	:	04/22/2025

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Directions to “SERENITY SERVICES AGENCY LLC ” Practice Location

Language	Start Address	Practice Location

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