MEDICARE: SERENITY HOME HEALTHCARE SERVICES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	3747P1801X	Personal Care Attendant
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1114752367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY HOME HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	4409 EXPEDITION DR
Second Line	:
City	:	OAK POINT
State	:	TX
Zip	:	75068-2088
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4409 EXPEDITION DR
Second Line	:
City	:	OAK POINT
State	:	TX
Zip	:	75068-2088
Country	:	US
Telephone Number	:	682-307-9939
Fax Number	:

Authorized Official
Title or Position	:	HEALTH ADMINISTRATOR
Name	:	KELECHI JENNIFER IKWUEGBU
Credential	:
Telephone Number	:	682-307-9939

Provider Enumeration Date	:	09/06/2024
Last Update Date	:	01/12/2026

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