Active NPI
Serenity Foundations, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Somerset, KY
National Provider Identifier
1306134184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- SERENITY FOUNDATIONS, LLC
- Practice address
- 128 Brians Way
Somerset, KY 42501-6151 - Phone
- (606) 416-5279
- Fax
- (606) 425-5330
- NPI assigned
- Jul 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy Lorie Tomlinson
- Title
- Owner, Ed, CM
- Phone
- (606) 425-7680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
128 Brians Way
Somerset, KY 42501-6151
Mailing address
44 Crestline Dr
Somerset, KY 42503-6242
Phone (606) 425-7680
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592784000000",
"number": "1306134184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 CRESTLINE DR",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425036242",
"telephone_number": "606-425-7680",
"fax_number": "606-425-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 BRIANS WAY",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425016151",
"telephone_number": "606-416-5279",
"fax_number": "606-425-5330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY FOUNDATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-14",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "TOMLINSON",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "LORIE",
"authorized_official_title_or_position": "OWNER, ED, CM",
"authorized_official_telephone_number": "606-425-7680"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.