Organization Active NPI

Valley Serenity Homes LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Oshkosh, WI
National Provider Identifier
1073486015
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
VALLEY SERENITY HOMES LLC
Practice address
1310 Morgan Ave
Oshkosh, WI 54901-1767
Phone
(618) 203-6891
NPI assigned
Sep 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Mamadou Coulibaly
Title
Owner
Phone
(618) 203-6891

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

1310 Morgan Ave
Oshkosh, WI 54901-1767

Mailing address

1310 Morgan Ave
Oshkosh, WI 54901-1767
Phone (618) 203-6891

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1073486015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 MORGAN AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549011767",
            "telephone_number": "618-203-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MORGAN AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549011767",
            "telephone_number": "618-203-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SERENITY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "COULIBALY",
        "authorized_official_first_name": "MAMADOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-203-6891"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.