Serenity Homes of New Orleans, Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

5074 Issued in LA

Legal business name

SERENITY HOMES OF NEW ORLEANS, INC.

Practice address

3520 General Degaulle Dr
Suite 3023
New Orleans, LA 70114-6757

Phone

(504) 362-4663

Fax

(504) 362-4676

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Yvette B Jacobs, 08061955

Title

President

Phone

(504) 362-4663

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Serenity Homes of New Orleans Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Serenity Homes of New Orleans Inc

  • Point of Service
  • New Orleans, LA
  • NPI 1497960231
  NPD tax ID
• Serenity Homes Ofnew Orleans Inc

  • Point of Service
  • New Orleans, LA
  • NPI 1548475395
  NPD tax ID

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083738215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GENERAL DEGAULLE DR",
            "address_2": "SUITE 3023",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146757",
            "telephone_number": "504-362-4663",
            "fax_number": "504-362-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GENERAL DEGAULLE DR",
            "address_2": "SUITE 3023",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146757",
            "telephone_number": "504-362-4663",
            "fax_number": "504-362-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOMES OF NEW ORLEANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-362-4663",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "08061955"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "LA",
            "license": "5074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1190012",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Serenity Homes of New Orleans Inc
• Serenity Homes Ofnew Orleans Inc
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• Serenity Personal Care Services, LLC
• Serenity Square of New Orleans Corp.
• Robert Sergent, D.M.D.

• Point of Service in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Point of Service in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.