Serenity Care Home Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY CARE HOME INC

Practice address

9020 W 31St St
Saint Louis Park, MN 55426-2968

Phone

(952) 652-3661

Fax

(952) 513-2027

NPI assigned

Dec 26, 2018

Organization subpart

No

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

Authorized official

Name

Khalid Gabeyre

Title

Managment

Phone

(952) 652-3661

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1689146961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 W 31ST ST",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554262968",
            "telephone_number": "952-652-3661",
            "fax_number": "952-513-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 W 31ST ST",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554262968",
            "telephone_number": "952-652-3661",
            "fax_number": "952-513-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "GABEYRE",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "MANAGMENT",
        "authorized_official_telephone_number": "952-652-3661"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soma Sen, MB BS
• Elizabeth M Senne, LICSW
• Senseability Care LLC
• Megan Alissa Septer, MA PSYD
• Julie Serena, M.S., CCC-SLP
• Anna Rosalie Serino
• Christopher Isaac Serna
• Savanna Marie Serna
• Tara Serra
• Karla Servaty

• Home Health Agency in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.