Provider Demographics
NPI:1386536498
Name:SERENITY CARE LLC
Entity type:Organization
Organization Name:SERENITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:COUNTRYMAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:207-745-8511
Mailing Address - Street 1:5 GERRY LN
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:ME
Mailing Address - Zip Code:04468-4143
Mailing Address - Country:US
Mailing Address - Phone:207-745-8511
Mailing Address - Fax:
Practice Address - Street 1:5 GERRY LN
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:ME
Practice Address - Zip Code:04468-4143
Practice Address - Country:US
Practice Address - Phone:207-745-8511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health