Active NPI
Serenity Rehabilitation and Health Center LLC
- Skilled Nursing Facility
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SERENITY REHABILITATION AND HEALTH CENTER LLC
- Practice address
- 1380 Southern Ave SE
Washington, DC 20032-4623 - Phone
- (202) 279-5880
- NPI assigned
- Sep 25, 2017
- 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
- Efraim Rooz
- Title
- Authorized Member
- Phone
- (845) 490-6060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1380 Southern Ave SE
Washington, DC 20032-4623
Mailing address
368 New Hempstead Rd Ste 309
New City, NY 10956-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180213002052 | DC | Part A Provider - Skilled Nursing Facility | 8426318437 | Practice locations: Washington, DC |
Skilled nursing facility certification: CCN 095015
- Legal name
- SERENITY REHABILITATION AND HEALTH CENTER LLC
- Doing business as
- APEX GLOBAL SOLUTIONS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 26, 1982
- Last certification
- Oct 20, 2023
- Beds
- 183
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Feb 1, 2018
- Organization structure
- LLC
- Incorporated
- Jan 25, 2017 in DC
- Enrollment address
- 1380 Southern Ave SE
Washington, DC 20032-4623 - Nursing home name
- SERENITY REHABILITATION AND HEALTH CENTER LLC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Serenity Rehabilitation and Health Center LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 26, 1982
- Medicare certification status
- Active
- Certified beds
- 183
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 09D0710932 | Serenity Rehabilitation and Health Center LLC | Certificate of waiver | May 23, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 30
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Direct Ownership Interest | Apr 1, 2025 | 4.99% | |
| Indirect Ownership Interest | Apr 1, 2025 | 0.69% | |
| 1380 Southern Avenue Re LLC | Adp of the SNF | Apr 1, 2025 | |
| Next Level Hospitality Services LLC | Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Indirect Ownership Interest | Apr 1, 2025 | 4.94% | |
| Indirect Ownership Interest | Apr 1, 2025 | 2.5% | |
| Indirect Ownership Interest | Apr 1, 2025 | 3.49% | |
| Marceline Nganfack | Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Indirect Ownership Interest | Apr 1, 2025 | 0.34% | |
| Indirect Ownership Interest | Apr 1, 2025 | 1.5% | |
| Elyse Tepper | Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Direct Ownership Interest | Apr 1, 2025 | 4.99% | |
| Direct Ownership Interest | Apr 1, 2025 | 4.99% | |
| Health Consulting Services | Adp of the SNF | Apr 1, 2025 | |
| Enhance Therapies Master Payco | Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Direct Ownership Interest | Apr 1, 2025 | 4.99% | |
| Nicola Andrews-Holmes | Operational/Managerial Control | Apr 1, 2025 | |
| Managing Control - Governing Body | Apr 1, 2025 | ||
| Adp of the SNF | Nov 3, 2025 | ||
| Efraim Rooz | 5% Or Greater Direct Ownership Interest | Feb 1, 2018 | 80.04% |
| Benjamin Macarubbo Adduru | Operational/Managerial Control | Apr 1, 2025 | |
| Managing Control - Governing Body | Apr 1, 2025 | ||
| Adp of the SNF | Apr 1, 2025 | ||
| Indirect Ownership Interest | Apr 1, 2025 | 0.34% | |
| Indirect Ownership Interest | Apr 1, 2025 | 2.5% | |
| Indirect Ownership Interest | Apr 1, 2025 | 0.05% | |
| Schiavi Wallace & Rowe PC | Adp of the SNF | Apr 1, 2025 | |
| Indirect Ownership Interest | Apr 1, 2025 | 3.95% | |
| Ahmed Mahmoud Elebiary | Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Indirect Ownership Interest | Apr 1, 2025 | 0.69% | |
| Dynamic Fiscal Services, Inc. | Adp of the SNF | Apr 1, 2025 | |
| Rytes Company LLC | Adp of the SNF | Apr 1, 2025 | |
| Apex Global Solutions LLC | Adp of the SNF | Apr 1, 2025 | |
| Evette Matthews | Operational/Managerial Control | Apr 1, 2025 | |
| Managing Control - Governing Body | Apr 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Alexandria, VA
- NPI 1659719227
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Washington, DC
- NPI 1952632069
Enhance Therapies Master Payco, Next Level Hospitality Services LLC
-
- Skilled Nursing Facility
- Washington, DC
- NPI 1205345998
Enhance Therapies Master Payco
-
- Skilled Nursing Facility
- Washington, DC
- NPI 1205333895
Enhance Therapies Master Payco
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Washington, MD
- NPI 1265562508
-
- Internal Medicine Physician
- Alexandria, VA
- NPI 1659719227
-
- Family Medicine Physician
- Oxon Hill, MD
- NPI 1033215371
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Fort Washington, MD
- NPI 1265562508
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518998400000",
"number": "1326557000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 NEW HEMPSTEAD RD STE 309",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109561900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 SOUTHERN AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324623",
"telephone_number": "202-279-5880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY REHABILITATION AND HEALTH CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-25",
"last_updated": "2018-02-19",
"status": "A",
"authorized_official_last_name": "ROOZ",
"authorized_official_first_name": "EFRAIM",
"authorized_official_title_or_position": "AUTHORIZED MEMBER",
"authorized_official_telephone_number": "845-490-6060"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.