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NPI Code Detail

MEDICARE: SERENE HOME CARE LLC

MEDICARE: SERENE HOME CARE 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
1253Z00000XIn Home Supportive Care Agency
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1255220158
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERENE HOME CARE LLC
Provider Business Mailing Address
First Line : 4405 ROYAL ST
Second Line :
City : PALATKA
State : FL
Zip : 32177-2472
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4405 ROYAL ST
Second Line :
City : PALATKA
State : FL
Zip : 32177-2472
Country : US
Telephone Number : 386-336-3742
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ZYKIA CLARK
Credential :
Telephone Number : 386-336-3742
Provider Enumeration Date : 07/02/2025
Last Update Date : 01/14/2026

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Directions to “SERENE HOME CARE LLC ” Practice Location

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