Organization Active NPI

Serenity Nursing Staff

  • Nursing Care Agency
  • New Haven, CT
National Provider Identifier
1093909160
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
03462897 Issued in CT
Legal business name
SERENITY NURSING STAFF
Practice address
681 Dixwell Avenue
#3
New Haven, CT 06511
Phone
(203) 389-6296
Fax
(203) 389-1226
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Mrs. Kimberly Renee Haqq, LICENSED NURSE
Title
Ceo
Phone
(203) 868-7992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 03462897 CT Primary

Addresses

Primary practice location

681 Dixwell Avenue
#3
New Haven, CT 06511

Mailing address

96 Emerson St
New Haven, CT 06515-1204
Phone (203) 389-6296

National Provider Directory

National Provider Directory

Locations

681 Dixwell Ave
#3
New Haven, CT 06511
Phone (203) 389-6296

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1093909160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 EMERSON ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151204",
            "telephone_number": "203-389-6296",
            "fax_number": "203-389-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 DIXWELL AVENUE",
            "address_2": "#3",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-389-6296",
            "fax_number": "203-389-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY NURSING STAFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "HAQQ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-868-7992",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICENSED NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CT",
            "license": "03462897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.