Organization Active NPI

Serenity Homes LLC

  • Custodial Care Facility
  • South Milwaukee, WI
National Provider Identifier
1144011883
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
SERENITY HOMES LLC
Practice address
805 Michigan Ave # 53172
South Milwaukee, WI 53172-2646
Phone
(414) 791-6045
NPI assigned
May 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Abdullahi Mohamed
Title
Owner
Phone
(414) 791-6045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

805 Michigan Ave # 53172
South Milwaukee, WI 53172-2646

Mailing address

5066 S 14TH St
Milwaukee, WI 53221-3536

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1144011883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5066 S 14TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532213536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MICHIGAN AVE # 53172",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531722646",
            "telephone_number": "414-791-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-791-6045"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.