Serenity Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SERENITY HEALTH, LLC

Doing business as

Serenity

Practice address

1901 S Jones Blvd
Las Vegas, NV 89146-1260

Phone

(702) 630-0883

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Gaby Cruz, MS, MFTI, LCI

Title

Executive Director

Phone

(702) 630-0883

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Serenity Doing business as

Tax ID family

Serenity Health 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.

• Serenity

  • Clinical Medical Laboratory
  • Las Vegas, NV
  • NPI 1023545787
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Serenity

  • Clinical Medical Laboratory
  • Las Vegas, NV
  • NPI 1023545787
  NPPES parent name

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1285097105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-630-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-630-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "GABY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-630-0883",
        "authorized_official_credential": "MS, MFTI, LCI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123456",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Serenity Counseling and Support Services
• Serenity Counseling LLC
• Serenity Family Practice, LLC. (Serenity Family Practice)
• Serenity Group LLC (Serenity Group)
• Serenity Health Care Services LLC
• Serenity Helpers Home Health Inc.
• Serenity Helpers LLC (Serenity Helpers)
• Serenity Helpers LLC (Serenity Helpers)
• Serenity Hospice Care LLC
• Serenity Hospice, LLC (Traditions Health)

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.