Serenity Care, Inc,

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

434360 Issued in PA

Legal business name

SERENITY CARE, INC,

Practice address

223 Jones Dr
Bridgeville, PA 15017-1933

Phone

(412) 628-6866

NPI assigned

Sep 8, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Zerrlaut, MPACJ

Title

Owner/Director

Phone

(412) 628-6866

Specialties & licenses 1

Addresses

Other names 1

• Serenity Pines Personal Care Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1013298744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 JONES DR",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171933",
            "telephone_number": "412-628-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 JONES DR",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171933",
            "telephone_number": "412-628-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "ZERRLAUT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "412-628-6866",
        "authorized_official_credential": "MPACJ"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "434360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Pines Personal Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Hartz Scott, MD
• Shannon Caroline Scott, MS, LPC, NCC
• Stacie Sebastian, LPC
• Jacob Michael Sebastiao, PHARMD
• Barbara Senatore, LSW
• Alin J Severance, M.D.
• Kallie Shafer, CRNP
• Muhammad Ilyas Shaikh, MD
• Sumiyah Shaikh, PA-C
• Madison Shaner, LPC

• Assisted Living Facility in Bridgeville, PA
• Providers in Bridgeville, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.