MEDICARE: SERENITY SPRINGS DAY CLUB

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251B00000X	Case Management Agency
3	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1396609137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY SPRINGS DAY CLUB

Provider Business Mailing Address
First Line	:	5520 CALLE QUIETA NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-2308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5520 CALLE QUIETA NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-2308
Country	:	US
Telephone Number	:	575-418-8019
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATHRYN FLEMING
Credential	:
Telephone Number	:	575-418-8019

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “SERENITY SPRINGS DAY CLUB ” Practice Location

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