Active NPI
Serenity Healthcare Services
- Community Health Clinic/Center
- Suffern, NY
National Provider Identifier
1053072959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- SERENITY HEALTHCARE SERVICES
- Practice address
- 75 Montebello Rd Ste 106
Suffern, NY 10901-3746 - Phone
- (845) 523-9500
- NPI assigned
- Jan 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Avraham Y Levenshteyn
- Title
- Ceo
- Phone
- (845) 523-9500
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Clinic/Center | 261Q00000X | |||
| Community Health Clinic/Center | 261QC1500X | Primary | ||
| Health Service Clinic/Center | 261QH0100X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
75 Montebello Rd Ste 106
Suffern, NY 10901-3746
Mailing address
75 Montebello Rd Ste 106
Suffern, NY 10901-3746
Phone (845) 523-9500
Other names 1
- Serenity Health
National Provider Directory
National Provider DirectoryLocations
75 Montebello Rd
Ste 106
Suffern, NY 10901
Phone (845) 523-9500
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Case Management Agency
- Suffern, NY
- NPI 1871237008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641254400000",
"number": "1053072959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 MONTEBELLO RD STE 106",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109013746",
"telephone_number": "845-523-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MONTEBELLO RD STE 106",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109013746",
"telephone_number": "845-523-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-04",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A",
"authorized_official_last_name": "LEVENSHTEYN",
"authorized_official_first_name": "AVRAHAM",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "845-523-9500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Serenity Health",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.