Organization Active NPI

Serenity Home LLC

  • Mental Health Counselor
  • Reno, NV
National Provider Identifier
1669878740
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SERENITY HOME LLC
Practice address
3284 Bullwinkle Dr
Reno, NV 89512-1135
Phone
(775) 229-2036
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Nedira Abubaker
Title
Owner
Phone
(775) 971-8081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3284 Bullwinkle Dr
Reno, NV 89512-1135

Mailing address

3284 Bullwinkle Dr
Reno, NV 89512-1135
Phone (775) 229-2036

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1669878740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3284 BULLWINKLE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121135",
            "telephone_number": "775-229-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3284 BULLWINKLE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121135",
            "telephone_number": "775-229-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "ABUBAKER",
        "authorized_official_first_name": "NEDIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-971-8081"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.