Serenity Home, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

122173 Issued in NV

Legal business name

SERENITY HOME, LLC

Practice address

3111 Sky Country Dr
Reno, NV 89503-1883

Phone

(775) 787-3239

NPI assigned

Mar 19, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Nedira Abdurahman Abubaker

Title

Owner

Phone

(775) 787-3239

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1619242971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SKY COUNTRY DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895031883",
            "telephone_number": "775-787-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SKY COUNTRY DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895031883",
            "telephone_number": "775-787-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "ABUBAKER",
        "authorized_official_first_name": "NEDIRA",
        "authorized_official_middle_name": "ABDURAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-787-3239",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NV",
            "license": "122173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daivee Serafini
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• Serenity Home LLC
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• Adam Justin Serfoss, PA-C
• Andrea Serial
• Susan Serota, R.N.
• Serotonin Spot Mental Health PLLC
• Rhonda G Serr, MOTR/L

• Mental Illness Community Based Residential Treatment Facility in Reno, NV
• Providers in Reno, NV by specialty
• Mental Illness Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.