Serenity Care and Support Service LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY CARE AND SUPPORT SERVICE LLC.

Practice address

2383 S Main St Ste D104
Coventry Township, OH 44319-1190

Phone

(234) 208-8003

Fax

(330) 234-9466

NPI assigned

Dec 17, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Treneice Campbell, BSW

Title

Executive Director

Phone

(330) 536-1100

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1922694512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 S MAIN ST STE D104",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443191190",
            "telephone_number": "234-208-8003",
            "fax_number": "330-234-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2383 S MAIN ST STE D104",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443191190",
            "telephone_number": "234-208-8003",
            "fax_number": "330-234-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE AND SUPPORT SERVICE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TRENEICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-536-1100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Rouse
• Kathleen Saber, LCP
• Mark Steven Salchak
• Wesley Kwame Sarpong
• Kevin Michael Segriff, PRS
• Zachary Charles Sherman, OD
• Kaitlin Marie Shine, LAT, ATC
• Tierney L Shumaker
• Troy J Sidner, CT
• Galen W. Sievert, PCC-S, LICDC-CS

• Home Health Agency in Coventry Township, OH
• Providers in Coventry Township, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.