# HEARTS OF SERENITY HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1770238818
- **Authorized official:** KETURA SMITH (OWNER/PRESIDENT)
- **Authorized official phone:** (580) 583-3072

## Contact information

- **Practice address:** 1025 MASON AVE STE 32, DAYTONA BEACH, FL 32117-4611
- **Practice address phone:** (580) 583-3072
- **Mailing address:** 1025 MASON AVE STE 32, DAYTONA BEACH, FL 32117-4611
- **Mailing address phone:** (580) 583-3072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 02/17/2022
- **Last updated:** 03/17/2022