Serenity Homes-North

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SERENITY HOMES-NORTH

Practice address

830 Hayes Street
Marne, MI 49435

Phone

(616) 677-6015

Fax

(616) 431-5038

NPI assigned

Jun 7, 2017

Last updated

Jun 7, 2017By 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

Abraham Joshua

Title

Administrator

Phone

(616) 550-6411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1548799216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 LAWTON DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252916",
            "telephone_number": "616-361-6571",
            "fax_number": "616-361-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 HAYES STREET",
            "city": "MARNE",
            "state": "MI",
            "postal_code": "49435",
            "telephone_number": "616-677-6015",
            "fax_number": "616-431-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOMES-NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "JOSHUA",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "616-550-6411"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanford West LLC (Sanford West Behavioral Health Services)
• Sanford West LLC (Sanford West Behavioral Health Services ED)
• Kaitlyn Ilene Seiter, LLMSW
• Nicholas James Selzer
• Serenity Homes-North
• Serenity Point Recovery Inc
• Shining Shield Medical Group, PC
• Bibhas Singla, M.D.
• Sophia Noel Smith, MS RDN
• Angela D Staal, RN

• Adult Care Home Facility in Marne, MI
• Providers in Marne, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.