Serenity

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

29D2104141 Issued in NV

Legal business name

SERENITY

Practice address

1901 S Jones Blvd
Las Vegas, NV 89146-1260

Phone

(702) 815-1550

Fax

(702) 815-1554

NPI assigned

May 12, 2017

Organization subpart

Yes

Parent organization

SERENITY HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Gaby Cruz, M.S., MFTI

Title

Owner

Phone

(702) 815-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Serenity Health LLC2 organizations share this tax ID, including this one

Part of

Serenity Health LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Serenity Health, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1285097105
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Serenity Health, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1285097105
  NPPES parent name

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1023545787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-815-1550",
            "fax_number": "702-815-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-815-1550",
            "fax_number": "702-815-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERENITY HEALTH, LLC",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "GABY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-815-1550",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., MFTI"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "29D2104141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WE ARE NOT ENROLLED",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serendipity Desert Care LLC
• Serene Behavioral Health LLC
• Serene Health & Wellness LLC
• Serene Path Wellness
• Serene Therapy LLC
• Serenity Behavioral Health
• Serenity Behavioral Services LLC
• Serenity Birth Center, LLC
• Serenity Birth Center, LLC
• Serenity Counseling and Support Services

• Clinical Medical Laboratory in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Medical Laboratory in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.