Serenity House Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

A06660001A Issued in IL

Legal business name

SERENITY HOUSE INC

Practice address

891 South Route 53
Addison, IL 60101-4220

Phone

(630) 620-6616

Fax

(630) 620-7924

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Gina Rybinski

Title

Insurance Coordinator

Phone

(630) 620-6616

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1659412955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 SOUTH ROUTE 53",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601014220",
            "telephone_number": "630-620-6616",
            "fax_number": "630-620-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 SOUTH ROUTE 53",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601014220",
            "telephone_number": "630-620-6616",
            "fax_number": "630-620-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "RYBINSKI",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "630-620-6616"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A06660001A",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A06660002A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A06660003A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A06660004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Schroeder, LPC, NBCC
• Peter T Schubel, M.D.
• Stephanie Schumacher, M.ED.
• Bozena Ewa Scigacz, M.D.
• Serenity House Counseling Services Inc.
• Serv Lab Inc
• Amar Jayesh Shah, PHARMD
• Ashwin Shah, PHARM D.
• Hemang Shah
• Seema Shah

• Substance Abuse Rehabilitation Facility in Addison, IL
• Providers in Addison, IL by specialty
• Substance Abuse Rehabilitation Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.