Serene Haven Residential

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

SERENE HAVEN RESIDENTIAL

Practice address

19940 Stanley St
Melvindale, MI 48122-1869

Phone

(419) 348-3033

NPI assigned

Nov 25, 2024

Last updated

Nov 25, 2024By 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

Kathryn LyttletonNPI 1083435085

Title

Founder

Phone

(419) 348-3033

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, and the practitioner matching its NPPES authorized official.

• Kathryn Lyttleton

  • Driver
  • Melvindale, MI
  • NPI 1083435085
  NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1295551281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19940 STANLEY ST",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19940 STANLEY ST",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221869",
            "telephone_number": "419-348-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HAVEN RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "LYTTLETON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "419-348-3033"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Melvindale, MI
• Providers in Melvindale, MI by specialty
• Private Vehicle in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.