OrganizationSerenity Health, Llc(Serenity)Community/Behavioral HealthAgenciesPractice Address1901 S Jones Blvd, Las Vegas, NV 89146-1260(702) 630-0883PECOS EnrollmentBased on the most recent information from CMS, provider Serenity Health, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 38 days ago.Profile DetailsProvider ID1285097105Provider TypeOrganizationFull NameSerenity Health, LlcOther NameSerenitySubpartNoEnumeration Date3/29/2016Last Updated10/30/2018Contact InformationPractice LocationPractice Address1901 S Jones Blvd, Las Vegas, NV 89146-1260Phone(702) 630-0883FaxUnlisted FaxMailing LocationMailing Address1901 S Jones Blvd, Las Vegas, NV 89146-1260Phone(702) 630-0883FaxUnlisted FaxAuthorized OfficialNameCruz, Gaby (Executive Director)Phone(702) 630-0883Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID123456DescriptionMedicaidIssuerUnlistedTexasID0000DescriptionMedicaidIssuerUnlistedNevada