Serenity House Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SERENITY HOUSE INC.

Practice address

205 E Grand Ave
Chippewa Falls, WI 54729-2632

Phone

(715) 723-8468

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Joseph SumnerNPI 1104098805

Title

Director

Phone

(715) 723-8468

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Joseph K Sumner

  • Addiction (Substance Use Disorder) Counselor
  • Chippewa Falls, WI
  • NPI 1104098805
  NPD (past) Authorized official

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1639341332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E GRAND AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E GRAND AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292632",
            "telephone_number": "715-723-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "SUMNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-723-8468"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39172600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Elmer Schultz, D.C.
• Ben J Sebranek, MS, CADC III
• Second Springs Care LLC
• Monica Seiberling, OTR/CHT
• Kristen Lee Seidler, MS, SAC, PC-IT
• Brian J. Serres, DDS
• Ronald Brian Sershon, D.D.S.
• Mary E Shea, PT
• Jeffrey Shepich, MD
• Mechele Lee Shipman, EDD, MSW, LCISW LCSW

• Substance Abuse Rehabilitation Facility in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Substance Abuse Rehabilitation Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.