Organization · Type 2 NPI

Serenity Evolution Care LLC

Home Health Aide · Russellville, AR

NPI number 1508605064 Active

Practice location

136 Jennings Rd
Russellville, AR 72802

Specialties and licenses

Taxonomy	Code	License
Home Health Aide Primary	374U00000X	None listed

Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

NPI record

NPI: 1508605064
Entity type: Organization (Type 2)
Issued: May 23, 2024
Last updated: May 23, 2024
Status: Active
Subpart: Yes of Affordable Taxi of Pope Co LLC

Other names

Affordable Taxi of Pope Co LLC · former legal business name
Serenity Evolution Care LLC · former legal business name

Authorized official

Rose Shaddon
Owner
(479) 857-5609

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508605064

Serenity Evolution Care LLC's National Provider Identifier is 1508605064, issued on May 23, 2024. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Russellville, AR. The record was last updated on May 23, 2024.