Serenity Home, LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

122173 Issued in NV

Legal business name

SERENITY HOME, LLC

Practice address

3111 Sky Country Dr
Reno, NV 89503-1883

Phone

(775) 787-3239

NPI assigned

Apr 5, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Nedira Abdurahman Abubaker

Title

Owner

Phone

(775) 787-3239

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandy Travers

  • Mental Health Counselor
  • Reno, NV
  • NPI 1992110365
  NPD (past)

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1174889992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SKY COUNTRY DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895031883",
            "telephone_number": "775-787-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SKY COUNTRY DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895031883",
            "telephone_number": "775-787-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "ABUBAKER",
        "authorized_official_first_name": "NEDIRA",
        "authorized_official_middle_name": "ABDURAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-787-3239",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NV",
            "license": "122173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequel Alliance Family Services, LLC
• Daivee Serafini
• Serene Support Services LLC
• Serenity Counseling Services
• Serenity Home LLC
• Serenity Home, LLC
• Adam Justin Serfoss, PA-C
• Andrea Serial
• Susan Serota, R.N.
• Serotonin Spot Mental Health PLLC

• Intellectual & Developmental Disabilities Psychologist in Reno, NV
• Providers in Reno, NV by specialty
• Intellectual & Developmental Disabilities Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.