Serenity Group, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SERENITY GROUP, LLC

Practice address

1101 Standiford Ave Ste B6
Modesto, CA 95350-0981

Phone

(209) 416-5437

NPI assigned

Nov 26, 2018

Organization subpart

No

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

Authorized official

Name

Harry Sandhu

Title

President of Operations

Phone

(209) 416-5437

Specialties & licenses 1

Addresses

Other names 1

• Addiction Free Recovery Services Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Bianca Agassi, PH.D

  • Marriage & Family Therapist
  • Boca Raton, FL
  • NPI 1578974499
  NPD
• Vikram Khanna, MD

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1821071986
  NPD (past)

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1639649353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 STANDIFORD AVE STE B6",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500981",
            "telephone_number": "209-416-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 STANDIFORD AVE STE B6",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500981",
            "telephone_number": "209-416-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "209-416-5437"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addiction Free Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Senior Advocacy Network
• Ernest F Seppi, RPH
• Sonia Argandar Sepulveda
• Alicia Sequeira
• Carly Sequeira
• Serenityhorizonsllc
• Jacob Andrew Serna
• Alexandra Serpa
• Jeanine Lea Serpa, BHS II
• Karla Serrano-Gil

• Substance Use Disorder Rehabilitation Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.