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NPI Code Detail

MEDICARE: SERENITY HOME HEALTH CARE LLC

MEDICARE: SERENITY HOME HEALTH 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1265225262
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERENITY HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 4500 LEE RD STE 128
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-2959
Country : US
Telephone Number : 614-673-6034
Fax Number :
Provider Business Practice Location Address
First Line : 4500 LEE RD STE 128
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-2959
Country : US
Telephone Number : 614-673-6034
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : ANWAR DAFLE ABDULLAHI
Credential :
Telephone Number : 614-673-6034
Provider Enumeration Date : 05/23/2025
Last Update Date : 05/23/2025

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Directions to “SERENITY HOME HEALTH CARE LLC ” Practice Location

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