Provider Demographics
NPI:1730995887
Name:SERENE BEBE LLC
Entity type:Organization
Organization Name:SERENE BEBE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:KINDRED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-539-0018
Mailing Address - Street 1:6634 CLAIRBORNE LN
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-1772
Mailing Address - Country:US
Mailing Address - Phone:941-539-0018
Mailing Address - Fax:
Practice Address - Street 1:6634 CLAIRBORNE LN
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211-1772
Practice Address - Country:US
Practice Address - Phone:941-539-0018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty