# SERENITY HEALTHCARE PROFESSIONALS LLC

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

## Provider details

- **NPI number:** 1588202576
- **Authorized official:** LAKEISHA WARNER LPN (OWNER)
- **Authorized official phone:** (708) 983-3453

## Contact information

- **Practice address:** 56 APPLE LN, PARK FOREST, IL 60466-2052
- **Practice address phone:** (708) 983-3453
- **Mailing address:** 56 APPLE LN, PARK FOREST, IL 60466-2052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | — | — |
| 251E00000X | Home Health Agency | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | — | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | — | — |
| 332U00000X | Home Delivered Meals | — | — | — |
| 335G00000X | Medical Foods Supplier | — | — | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | — | — |
| 385H00000X | Respite Care | — | — | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | — | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | — | — |

## Other

- **Enumeration date:** 12/20/2019
- **Last updated:** 12/20/2019