# SERENITY SQUARE OF LAKE CHARLES CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ageless Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881328839
- **Authorized official:** ROBERT CAILIER (MANAGER)
- **Authorized official phone:** (337) 704-7777

## Contact information

- **Practice address:** 403 W 18TH ST, LAKE CHARLES, LA 70601-8460
- **Practice address phone:** (337) 240-8555
- **Practice address fax:** (337) 240-8558
- **Mailing address:** 1353 SURREY ST, LAFAYETTE, LA 70501-7617
- **Mailing address phone:** (337) 345-4444
- **Mailing address fax:** (337) 266-5893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 305S00000X | Point of Service | — | NULL | — |

## Other

- **Enumeration date:** 07/14/2022
- **Last updated:** 08/05/2026