# SERENITY RESIDENTIAL HOME CARE LLC

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

## Provider details

- **NPI number:** 1528885787
- **Authorized official:** CALVIN JACKSON JR. (CEO)
- **Authorized official phone:** (313) 587-5247

## Contact information

- **Practice address:** 13974 LAUDER ST, DETROIT, MI 48227-2559
- **Practice address phone:** (313) 587-5247
- **Mailing address:** 29155 NORTHWESTERN HWY \# 400, SOUTHFIELD, MI 48034-1011
- **Mailing address phone:** (313) 587-5247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253J00000X | Foster Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |

## Other

- **Enumeration date:** 09/20/2024
- **Last updated:** 09/20/2024