NPIMap

Organization Active NPI

Serenity Christian Homes Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Fargo, ND
National Provider Identifier
1346732773
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
5801 Issued in ND
Legal business name
SERENITY CHRISTIAN HOMES INC.
Practice address
1111 Prairie Pkwy
West Fargo, ND 58078-3132
Phone
(701) 532-0754
Fax
(701) 532-0839
NPI assigned
Jun 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Authorized official

Name
Sean BennettNPI 1497299879
Title
Administrator
Phone
(218) 329-4740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 5801 ND Primary

Addresses

Primary practice location

1111 Prairie Pkwy
West Fargo, ND 58078-3132

Mailing address

1111 Prairie Pkwy
West Fargo, ND 58078-3132
Phone (701) 532-0754

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1346732773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PRAIRIE PKWY",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783132",
            "telephone_number": "701-532-0754",
            "fax_number": "701-532-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PRAIRIE PKWY",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783132",
            "telephone_number": "701-532-0754",
            "fax_number": "701-532-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CHRISTIAN HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-329-4740"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "ND",
            "license": "5801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.