Organization Active NPI

Serenity Life LLC

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
National Provider Identifier
1396236832
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SERENITY LIFE LLC
Practice address
2509 Second St
North Las Vegas, NV 89030
Phone
(702) 351-8991
NPI assigned
May 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Tiara McElroy
Title
Manager
Phone
(702) 351-8991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2509 Second St
North Las Vegas, NV 89030

Mailing address

2509 Second St
North Las Vegas, NV 89030
Phone (702) 351-8991

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1396236832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 SECOND ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89030",
            "telephone_number": "702-351-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 SECOND ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89030",
            "telephone_number": "702-351-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "MCELROY",
        "authorized_official_first_name": "TIARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-351-8991"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.