Organization Active NPI

Serene Housing LLC

  • Case Management Agency
  • Eden Prairie, MN
National Provider Identifier
1619576295
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SERENE HOUSING LLC
Practice address
8725 Columbine Rd Unit 46205
Eden Prairie, MN 55344-5855
Phone
(612) 814-1844
NPI assigned
Oct 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Yusuf Osman AbdiNPI 1376438028
Title
Owner
Phone
(612) 814-1844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

8725 Columbine Rd Unit 46205
Eden Prairie, MN 55344-5855

Mailing address

8725 Columbine Rd Unit 46205
Eden Prairie, MN 55344-5855
Phone (612) 814-1844

Other names 1

  • Serene Housing LLC Other name

National Provider Directory

National Provider Directory

Locations

8725 Columbine Rd
Unit 46205
Eden Prairie, MN 55344
Phone (612) 814-1844

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1619576295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 COLUMBINE RD UNIT 46205",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445855",
            "telephone_number": "612-814-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 COLUMBINE RD UNIT 46205",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445855",
            "telephone_number": "612-814-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HOUSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "YUSUF",
        "authorized_official_middle_name": "OSMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-814-1844"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Housing LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.