Serenity Path Homes

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SERENITY PATH HOMES

Doing business as

Serenity Path Homes

Practice address

2408 NW 31St St
Ankeny, IA 50023-4130

Phone

(515) 305-7675

NPI assigned

Nov 21, 2024

Organization subpart

No

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

Authorized official

Name

Prince Bagabo, MEMBER

Title

Member

Phone

(515) 525-2774

Specialties & licenses 1

Addresses

Other names 1

• Serenity Path Homes Doing business as

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1629893953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 NW 31ST ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234130",
            "telephone_number": "515-305-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 NW 31ST ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234130",
            "telephone_number": "515-305-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PATH HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "BAGABO",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "515-525-2774",
        "authorized_official_credential": "MEMBER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Path Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.