# SERENITY HOME CARE LLC

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

## Provider details

- **NPI number:** 1669128609
- **Authorized official:** FADHI HERSI (OWNER)
- **Authorized official phone:** (602) 688-9942

## Contact information

- **Practice address:** 6519 W BRANHAM LN, LAVEEN, AZ 85339-2723
- **Practice address phone:** (858) 413-5494
- **Mailing address:** 4451 W ST ANNE AVE, LAVEEN, AZ 85339-6232
- **Mailing address phone:** (858) 413-5494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/28/2022
- **Last updated:** 04/13/2025