Serene Lifestyle, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

SERENE LIFESTYLE, LLC

Practice address

2909 Allens Xing
Glen Allen, VA 23060-2135

Phone

(804) 263-6140

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Quinieck Chaney

Title

Owner

Phone

(804) 263-6140

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1073374674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 ALLENS XING",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230602135",
            "telephone_number": "804-263-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 ALLENS XING",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230602135",
            "telephone_number": "804-263-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE LIFESTYLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "QUINIECK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-263-6140"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Awbrey Seals, DMD
• Lara S. Seavey, M.ED.
• Kyle Elizabeth Seedlock, M.D.
• Selah Counseling Services
• Kelly Allen Seltzer, CRNP
• Jordyn Nicole Sewell, PA
• Ana M Shabestar
• Amish B Shah, MD
• Asif Shah, DPM
• Juee Shah, PT,MPT,DPT,CLT,WCC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.