Serenity Assisted Living

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

AS250299205 Issued in MI

Legal business name

SERENITY ASSISTED LIVING

Practice address

11328 N Bray Rd
Clio, MI 48420-7954

Phone

(810) 247-2343

Fax

(810) 670-6767

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Miss Mounirah Abuaita

Title

President

Phone

(810) 247-2343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1588897409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11328 N BRAY RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484207954",
            "telephone_number": "810-247-2343",
            "fax_number": "810-670-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11328 N BRAY RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484207954",
            "telephone_number": "810-247-2343",
            "fax_number": "810-670-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "ABUAITA",
        "authorized_official_first_name": "MOUNIRAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-247-2343",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "AS250299205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Schneider, DPT
• Jacob Schumer, DPT
• Shelley J Schwartz, RPH
• Debora Jo Searyrissin
• Jason J Sefa, DC
• Nermine Nader Shehata, DMD
• Shelby Foot & Ankle PLLC
• Jennifer Suzanne Shivnen, PA-C
• Lorraine A Shulman, MSW
• Silver Fern Therapy PLLC

• Physical Disabilities Residential Treatment Facility in Clio, MI
• Providers in Clio, MI by specialty
• Physical Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.