Provider Demographics
NPI:1043012503
Name:SERENITY CARE PARTNERS LLC
Entity type:Organization
Organization Name:SERENITY CARE PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/COO
Authorized Official - Prefix:
Authorized Official - First Name:BIGNON
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGUENON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-423-4234
Mailing Address - Street 1:5539 EUREKA DR STE B
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-4265
Mailing Address - Country:US
Mailing Address - Phone:612-423-4234
Mailing Address - Fax:
Practice Address - Street 1:5539 EUREKA DR STE B
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-4265
Practice Address - Country:US
Practice Address - Phone:612-423-4234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility