Organization Active NPI

Serenity Foundations, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Somerset, KY
National Provider Identifier
1306134184
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Jun 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.