NPIMap

Organization Active NPI

Serenity Home Care Facilities LLC

  • Registered Nurse
  • Menifee, CA
National Provider Identifier
1518436773
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
SERENITY HOME CARE FACILITIES LLC
Practice address
25654 Papillon CT
Menifee, CA 92585-8878
Phone
(213) 210-6472
NPI assigned
Nov 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Authorized official

Name
Mr. Christopher C Nwaezeapu, RN
Title
Administrator/Manager
Phone
(213) 210-6472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

25654 Papillon CT
Menifee, CA 92585-8878

Mailing address

25654 Papillon CT
Menifee, CA 92585-8878
Phone (213) 210-6472

Other names 1

  • Papillon DDN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G777

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PAPILLON DDN
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 4, 2019
Last certification
Mar 11, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
25654 Papillon Court
Menifee, CA 92585

National Provider Directory

National Provider Directory
Tax ID family
Aces House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1518436773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25654 PAPILLON CT",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925858878",
            "telephone_number": "213-210-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25654 PAPILLON CT",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925858878",
            "telephone_number": "213-210-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE FACILITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "NWAEZEAPU",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR/MANAGER",
        "authorized_official_telephone_number": "213-210-6472",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Papillon DDN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.