Provider Demographics
NPI:1871309658
Name:SERENITY CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:SERENITY CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSSIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-484-6354
Mailing Address - Street 1:607 E WALLISVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77562-3831
Mailing Address - Country:US
Mailing Address - Phone:732-484-6354
Mailing Address - Fax:
Practice Address - Street 1:607 E WALLISVILLE RD
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:TX
Practice Address - Zip Code:77562-3831
Practice Address - Country:US
Practice Address - Phone:732-484-6354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SERENITY CARE SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-06
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health