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Organization

SERENITY GUIDED CARE LLC

Active
Other names
Serenity Guided Transport
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RAHCHEL NIA FORREST-RICE (ADMINISTRATOR)
(864) 405-0775
Entity
Organization

Contact information

Practice address
117 COMMONS WAY # 203, GREENVILLE, SC 29611-3850
(864) 405-0775
(803) 574-6981
Mailing address
117 COMMONS WAY STE 203, GREENVILLE, SC 29611-3850
(864) 405-0775
(803) 574-6981

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
253Z00000X
In Home Supportive Care Agency
Primary
347C00000X
Private Vehicle
372600000X
Adult Companion
385H00000X
Respite Care
385HR2055X
Child Mental Illness Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
385HR2065X
Child Physical Disabilities Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487247854
IN-HOME SUPPORTIVE SERVICES
SC
05
1487247854
SC
Enumeration date
02/17/2021
Last updated
05/21/2025
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