NPIMap

Organization Active NPI

Serenity Home Care LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Laveen, AZ
National Provider Identifier
1669128609
Registry record updated Apr 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SERENITY HOME CARE LLC
Practice address
6519 W Branham LN
Laveen, AZ 85339-2723
Phone
(858) 413-5494
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2025

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

Authorized official

Name
Fadhi Hersi
Title
Owner
Phone
(602) 688-9942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

6519 W Branham LN
Laveen, AZ 85339-2723

Mailing address

4451 W St Anne Ave
Laveen, AZ 85339-6232
Phone (858) 413-5494

National Provider Directory

National Provider Directory
Tax ID family
Serenity Home Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744502400000",
    "number": "1669128609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 W ST ANNE AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396232",
            "telephone_number": "858-413-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6519 W BRANHAM LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392723",
            "telephone_number": "858-413-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-13",
        "status": "A",
        "authorized_official_last_name": "HERSI",
        "authorized_official_first_name": "FADHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-688-9942"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2025; 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.