Serene Haven LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERENE HAVEN LLC

Practice address

4050 Nathan LN N
Plymouth, MN 55441-1630

Phone

(651) 204-9932

NPI assigned

Sep 5, 2025

Organization subpart

No

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

Authorized official

Name

Jennifer Ogbogu

Title

Authorized Official

Phone

(612) 987-3030

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1073493532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 NATHAN LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411630",
            "telephone_number": "651-204-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 NATHAN LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411630",
            "telephone_number": "651-204-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "OGBOGU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "612-987-3030"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James D Sell, P.T.
• Lynnelle Ann Sell, PT
• Erin Sellinger
• Eric M. Seppelt, DPT
• Seranzo Home Health
• Jessica Seubert, D.D.S.
• Gail Marie Severtson, RPH
• Shanahan Chiropractic LLC
• Reese Robert Shanahan, D.C
• Ralph Scott Shapiro, M.D.

• Assisted Living Facility in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.