Serenity Senior Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SERENITY SENIOR CARE

Practice address

1126 Hilltop Dr
Lawrence, KS 66044-4530

Phone

(785) 393-2689

NPI assigned

Sep 27, 2019

Last updated

Sep 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cherry BoldenNPI 1053962498

Title

C.E.O

Phone

(785) 393-2689

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cherry Bolden, C.E.O

  • Adult Day Care Clinic/Center
  • Lawrence, KS
  • NPI 1053962498
  Authorized official Same address or phone

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1497306682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 WILDWOOD DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493752",
            "telephone_number": "785-393-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 HILLTOP DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660444530",
            "telephone_number": "785-393-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "CHERRY",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "785-393-2689"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "serenityseniorcare@yahoo.com",
            "affiliation": "N",
            "address_1": "1126 Hilltop Dr",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660444530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marcia J Segraves
• Sandy Seiler, MPT
• Ambika Selvan, PTA
• Serc Rehabilitation Partners LLC
• Serc Rehabilitation Partners LLC
• Jessica Seubert, PHARMD
• Ruth A Shadel, LSCSW
• Caressa Shafer
• Julia Shaftel, PH.D.
• Kalie Shanks, NP

• Adult Day Care Clinic/Center in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Adult Day Care Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.