Organization Active NPI

Serenity Group Living LLC

  • Assisted Living Facility
  • Manteno, IL
National Provider Identifier
1093674905
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENITY GROUP LIVING LLC
Practice address
600 N Birch St
Manteno, IL 60950-1391
Phone
(815) 468-6896
Fax
(815) 468-0453
NPI assigned
Jan 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Lynn Justusson
Title
President
Phone
(248) 743-0396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

600 N Birch St
Manteno, IL 60950-1391

Mailing address

600 N Birch St
Manteno, IL 60950-1391
Phone (815) 468-6896

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1093674905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N BIRCH ST",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609501391",
            "telephone_number": "815-468-6896",
            "fax_number": "815-468-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BIRCH ST",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609501391",
            "telephone_number": "815-468-6896",
            "fax_number": "815-468-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY GROUP LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "JUSTUSSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-743-0396"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteno, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.