Organization
SERENITY HOME HEALTH CARE SYSTEM INC
Active
Other names
Serenity Home Health Care System
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIR TABABOUANGA ALBERT (OWNER/PRESIDENT)
(952) 210-4481
Entity
Organization
Contact information
Practice address
400 SELBY AVE STE M, SAINT PAUL, MN 55102-4520
(651) 493-4536
(651) 493-4868
Mailing address
400 SELBY AVE STE M, SAINT PAUL, MN 55102-4520
(651) 493-4536
(651) 493-4868
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
345918
MN
251E00000X
Home Health Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/19/2009
Last updated
05/10/2026
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