Organization Active NPI

Serenity Homes of New Orleans Inc

  • Point of Service
  • New Orleans, LA
National Provider Identifier
1497960231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
5076 Issued in LA
Legal business name
SERENITY HOMES OF NEW ORLEANS INC
Practice address
3520 General Degaulle Dr
Suite3023
New Orleans, LA 70114-6757
Phone
(504) 362-4663
Fax
(504) 362-4676
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Yvette Brown Jacobs, 08061955
Title
Ceo
Phone
(504) 362-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 5076 LA Primary

Addresses

Primary practice location

3520 General Degaulle Dr
Suite3023
New Orleans, LA 70114-6757

Mailing address

3520 General Degaulle Dr
Suite3023
New Orleans, LA 70114-6757
Phone (504) 362-4663

Other identifiers 1

IdentifierTypeStateIssuer
1651958MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Serenity Homes of New Orleans Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497960231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GENERAL DEGAULLE DR",
            "address_2": "SUITE3023",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146757",
            "telephone_number": "504-362-4663",
            "fax_number": "504-362-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GENERAL DEGAULLE DR",
            "address_2": "SUITE3023",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146757",
            "telephone_number": "504-362-4663",
            "fax_number": "504-362-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOMES OF NEW ORLEANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-362-4663",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "08061955"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "LA",
            "license": "5076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1651958",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.