MEDICARE: SERENITY SENIOR SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251T00000X	PACE Provider Organization
3	253Z00000X	In Home Supportive Care Agency
4	261QA0600X	Adult Day Care Clinic/Center
5	347C00000X	Private Vehicle
6	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1871300772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY SENIOR SERVICES LLC

Provider Business Mailing Address
First Line	:	576 HOLCOMBE AVE
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36606
Country	:	US
Telephone Number	:	251-459-0601
Fax Number	:

Provider Business Practice Location Address
First Line	:	576 HOLCOMBE AVE
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36606
Country	:	US
Telephone Number	:	251-459-0601
Fax Number	:

Authorized Official
Title or Position	:	OWN
Name	:	MS. TOMEKA LASHAY THOMPSON
Credential	:
Telephone Number	:	251-459-0601

Provider Enumeration Date	:	12/13/2024
Last Update Date	:	04/02/2025

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Directions to “SERENITY SENIOR SERVICES LLC ” Practice Location

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