MEDICARE: SERENITY CARE SERVICES 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	261QA0600X	Adult Day Care Clinic/Center
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1508647439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	909 TALBOTTON RD STE C
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-8851
Country	:	US
Telephone Number	:	251-359-0181
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 TALBOTTON RD STE C
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-8851
Country	:	US
Telephone Number	:	251-359-0181
Fax Number	:

Authorized Official
Title or Position	:	MANAGER/OWNER
Name	:	CANDICE BROOKS
Credential	:
Telephone Number	:	251-359-0181

Provider Enumeration Date	:	10/06/2023
Last Update Date	:	03/31/2026

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Directions to “SERENITY CARE SERVICES LLC ” Practice Location

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