Provider Demographics
NPI:1336023225
Name:SERENITY SERVICES AGENCY LLC
Entity type:Organization
Organization Name:SERENITY SERVICES AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYOWALE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-521-3142
Mailing Address - Street 1:4224 WATSON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-1271
Mailing Address - Country:US
Mailing Address - Phone:224-521-3142
Mailing Address - Fax:
Practice Address - Street 1:4224 WATSON RD STE 201
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-1271
Practice Address - Country:US
Practice Address - Phone:224-521-3142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care