# SERENITY INNOVATIVE CARE AGENCY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** serenity innovative care agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801657341
- **Authorized official:** TIFFANY JEANIA ROACH (ADMINSTRATOR)
- **Authorized official phone:** (901) 603-7741

## Contact information

- **Practice address:** 3108 N PARHAM RD STE 602A, HENRICO, VA 23294-4417
- **Practice address phone:** (804) 250-9426
- **Practice address fax:** (804) 446-5915
- **Mailing address:** 305 S WASHINGTON HWY STE G7, ASHLAND, VA 23005-2257
- **Mailing address phone:** (804) 250-9426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |

## Other

- **Enumeration date:** 01/22/2024
- **Last updated:** 04/07/2025