Organization Active NPI

Serene Nemt LLC

  • Non-emergency Medical Transport (VAN)
  • Fairfield, OH
National Provider Identifier
1518710367
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SERENE NEMT LLC
Practice address
34 Providence Dr Apt 30
Fairfield, OH 45014-6653
Phone
(513) 667-5028
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Shardae Famble
Title
Employee
Phone
(513) 667-5028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

34 Providence Dr Apt 30
Fairfield, OH 45014-6653

Mailing address

PO Box 18234
Fairfield, OH 45018-0234
Phone (513) 667-5028

Other names 1

  • SHARDAE FAMBLE Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1518710367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18234",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450180234",
            "telephone_number": "513-667-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PROVIDENCE DR APT 30",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450146653",
            "telephone_number": "513-667-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE NEMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "FAMBLE",
        "authorized_official_first_name": "SHARDAE",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "513-667-5028"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHARDAE FAMBLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.