# SERENITY HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144804220
- **Authorized official:** NOMAN KABA (MANAGER)
- **Authorized official phone:** (630) 440-7292

## Contact information

- **Practice address:** 6601 COBBLESTONE LN, LONG GROVE, IL 60047-5164
- **Practice address phone:** (630) 440-7292
- **Mailing address:** 6601 COBBLESTONE LN, LONG GROVE, IL 60047-5164
- **Mailing address phone:** (630) 440-7292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/05/2021
- **Last updated:** 05/08/2021
