Organization Active NPI

Serenity Maternal Infant Health Program, Inc.

  • Case Management Agency
  • Ann Arbor, MI
National Provider Identifier
1447669296
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SERENITY MATERNAL INFANT HEALTH PROGRAM, INC.
Practice address
2500 Packard St
Suite 104
Ann Arbor, MI 48104-6827
Phone
(734) 441-1503
NPI assigned
Aug 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Ademola Osofisan, MHA
Title
Ceo
Phone
(734) 441-1503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2500 Packard St
Suite 104
Ann Arbor, MI 48104-6827

Mailing address

2500 Packard St
Suite 104
Ann Arbor, MI 48104-6827
Phone (734) 441-1503

National Provider Directory

National Provider Directory

Locations

2500 Packard St
Ste 104
Ann Arbor, MI 48104
Phone (734) 441-1503

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1447669296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 PACKARD ST",
            "address_2": "SUITE 104",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046827",
            "telephone_number": "734-441-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PACKARD ST",
            "address_2": "SUITE 104",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046827",
            "telephone_number": "734-441-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MATERNAL INFANT HEALTH PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "OSOFISAN",
        "authorized_official_first_name": "ADEMOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-441-1503",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.