# SERENITY HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1902243900
- **Authorized official:** TIARA ROCHELLE WHITE (DESIGNATED MANAGER)
- **Authorized official phone:** (314) 359-5542

## Contact information

- **Practice address:** 11130 MICHELHAM DR, STE. K, SAINT LOUIS, MO 63136-6404
- **Practice address phone:** (314) 359-5542
- **Mailing address:** 11130 MICHELHAM DR, STE. K, SAINT LOUIS, MO 63136-6404
- **Mailing address phone:** (314) 359-5542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | LC1314718 | MO | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/30/2013
- **Last updated:** 06/12/2013