NPIMap

Organization Active NPI

Serene Living LLC

  • Mental Illness Intermediate Care Facility
  • New Orleans, LA
National Provider Identifier
1265041446
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
SERENE LIVING LLC
Practice address
1567 Shirley Dr
New Orleans, LA 70114-2911
Phone
(504) 319-1769
Fax
(504) 383-7448
NPI assigned
Jul 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Cherrell Lynette Thompson, PHARM DNPI 1184169179
Title
Ceo
Phone
(504) 319-1769

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

1567 Shirley Dr
New Orleans, LA 70114-2911

Mailing address

1317 Dupas St
Gretna, LA 70053-3710
Phone (504) 319-1769

National Provider Directory

National Provider Directory
Tax ID family
Serene Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1265041446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 DUPAS ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700533710",
            "telephone_number": "504-319-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 SHIRLEY DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701142911",
            "telephone_number": "504-319-1769",
            "fax_number": "504-383-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHERRELL",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-319-1769",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.