Serenity Haven Support

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SERENITY HAVEN SUPPORT

Practice address

1213 Fox Creek Dr
Killeen, TX 76543-7142

Phone

(757) 751-7728

NPI assigned

Jul 12, 2025

Last updated

Jul 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khaaliq Rasheed Payne

Title

Owner/Ex. Director

Phone

(757) 751-7728

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752278400000",
    "number": "1205727708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 FOX CREEK DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437142",
            "telephone_number": "757-751-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 FOX CREEK DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437142",
            "telephone_number": "757-751-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HAVEN SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "KHAALIQ",
        "authorized_official_middle_name": "RASHEED",
        "authorized_official_title_or_position": "OWNER/EX. DIRECTOR",
        "authorized_official_telephone_number": "757-751-7728"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Segura
• Karen Lynn Seitz, FNP RN MSN FNPC
• Michille L Seo
• Serendivine Home Healthcare LLC
• Serenity Community Care LLC
• Serve All Medical Killeen, PLLC (Clinica Hispana)
• Services With Dulce, PLLC
• Shonda Seuga
• Valerie Ann Sewell, LPC
• Pankti Shah

• Adult Care Home Facility in Killeen, TX
• Providers in Killeen, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.