NPIMap

Organization Active NPI

Serenity Home Care LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Laveen, AZ
National Provider Identifier
1083208441
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SERENITY HOME CARE LLC
Practice address
7004 W Shumway Farm Rd
Laveen, AZ 85339-7033
Phone
(602) 688-9942
Fax
(602) 806-6441
NPI assigned
Feb 25, 2021
Organization subpart
Yes
Parent organization
SERENITY HOME CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Fadhi Hersi
Title
Owner
Phone
(602) 688-9942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

7004 W Shumway Farm Rd
Laveen, AZ 85339-7033

Mailing address

4451 W St Anne Ave
Laveen, AZ 85339-6232
Phone (602) 688-9942

National Provider Directory

National Provider Directory
Tax ID family
Serenity Home Care LLC4 organizations share this tax ID, including this one
Part of
Serenity Home Care LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1083208441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 W ST ANNE AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396232",
            "telephone_number": "602-688-9942",
            "fax_number": "602-806-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 W SHUMWAY FARM RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397033",
            "telephone_number": "602-688-9942",
            "fax_number": "602-806-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERENITY HOME CARE LLC",
        "enumeration_date": "2021-02-25",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "HERSI",
        "authorized_official_first_name": "FADHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-688-9942"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.