Serenity Care and Life Skills Services LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SERENITY CARE AND LIFE SKILLS SERVICES LLC

Practice address

610 NE Horizon Dr Apt 108
Waukee, IA 50263-8023

Phone

(515) 745-5069

NPI assigned

Dec 4, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Nicholaus Henry Madenge

Title

Director

Phone

(515) 745-5069

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1376149443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NE HORIZON DR APT 108",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638023",
            "telephone_number": "515-745-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NE HORIZON DR APT 108",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638023",
            "telephone_number": "515-745-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE AND LIFE SKILLS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "MADENGE",
        "authorized_official_first_name": "NICHOLAUS",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "515-745-5069",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Waukee, IA
• Providers in Waukee, IA by specialty
• Multi-Specialty Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.