Serenitys Way

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

7609010 Issued in OH

Legal business name

SERENITYS WAY

Practice address

11557 State Route 45
Lisbon, OH 44432-8621

Phone

(330) 271-9817

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Mildred E Iler, LPN

Title

Ceo

Phone

(330) 271-9817

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1619424504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11557 STATE ROUTE 45",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328621",
            "telephone_number": "330-271-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11557 STATE ROUTE 45",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328621",
            "telephone_number": "330-271-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITYS WAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "ILER",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "13302719817",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "7609010",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114960",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Lisbon, OH
• Providers in Lisbon, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.