Serena Adult Carellc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SERENA ADULT CARELLC

Practice address

470 Main St
Apt #2
Stoneham, MA 02180-2628

Phone

(857) 294-3986

NPI assigned

Mar 23, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Madiinah Namutebi

Title

Executive Director

Phone

(857) 294-3986

Specialties & licenses 1

Addresses

Other names 1

• Serena House Doing business as

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1053842898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 MAIN ST",
            "address_2": "APT 2",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802628",
            "telephone_number": "857-294-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 MAIN ST",
            "address_2": "APT #2",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802628",
            "telephone_number": "857-294-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENA ADULT CARELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "NAMUTEBI",
        "authorized_official_first_name": "MADIINAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "857-294-3986",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serena House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyson Schreiner
• David J Schurgin, O.D.
• Laura Scudder, RNC PNP
• Sophia Alexandra Seldon
• Howard Seplowitz, DMD
• Serenity Home Health Care Agency
• Fereydoun Shahrokhi, MD
• Kathleen Shahrokhi, PHD
• Laura Anne Shakun, PSY.D.
• Emily Shepard

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.