Serenity Rehabilitation Center, Inc

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

SERENITY REHABILITATION CENTER, INC

Practice address

673 Martin Luther King Jr Blvd N
Pontiac, MI 48342-1679

Phone

(248) 838-3686

Fax

(248) 621-9626

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Sharjeel Khan

Title

Ceo

Phone

(248) 444-2772

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Opioid treatment program

Medicare-enrolled since Feb 1, 2023

Enrollment records 1

Locations

Practitioners 3

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

• Melanie Abner, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Pontiac, MI
  • NPI 1982316352
  NPD
• Herbert Isaac II, MD

  • Family Medicine Physician
  • Pontiac, MI
  • NPI 1841231941
  NPD
• Bryan K Swilley, DO

  • General Practice Physician
  • Pontiac, MI
  • NPI 1861409302
  NPD

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1558029900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S JOHNSON ST STE 1D",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411660",
            "telephone_number": "248-444-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 MARTIN LUTHER KING JR BLVD N",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421679",
            "telephone_number": "248-838-3686",
            "fax_number": "248-621-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHARJEEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-444-2772"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Specialty Hospital - Pontiac Inc
• Marisa Ariel Seltzer, LMSW
• Jennifer Robert Semaan, DO
• Mohamed Mostafa Seoudi, MD
• Sequoia Recovery Services
• William M. Serote, D.O.
• Daniel Servito, FNP
• Timothy P Sesi, M.D.
• Luke W Seuffer
• Abby Sferrella, DO

• Methadone Clinic in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Methadone Clinic in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.