Organization Active NPI

Serenity Urgent Care Clinic PLLC

  • Urgent Care Clinic/Center
  • Livonia, MI
National Provider Identifier
1245073824
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SERENITY URGENT CARE CLINIC PLLC
Practice address
19928 Farmington Rd
Livonia, MI 48152-1409
Phone
(734) 819-0080
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Mr. Chadi Almhana, MDNPI 1730464561
Title
Owner
Phone
(734) 819-0080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

19928 Farmington Rd
Livonia, MI 48152-1409

Mailing address

19928 Farmington Rd
Livonia, MI 48152-1409
Phone (734) 819-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241022002753 MI Part B Supplier - Clinic/Group Practice 3678005139 Receives reassigned benefits from 1 practitioner
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Locations

19928 Farmington Rd
Livonia, MI 48152
Phone (248) 477-5330

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1245073824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19928 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521409",
            "telephone_number": "734-819-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19928 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521409",
            "telephone_number": "734-819-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY URGENT CARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "ALMHANA",
        "authorized_official_first_name": "CHADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-819-0080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.