NPIMap

Organization Active NPI

Serenity Independent Living Services LLC.

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1699333161
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY INDEPENDENT LIVING SERVICES LLC.
Practice address
8531 W Lisbon Ave
Milwaukee, WI 53222-3728
Phone
(414) 739-0690
Fax
(262) 661-7491
NPI assigned
May 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Authorized official

Name
Ms. Whitney PeguesNPI 1780242115
Title
Director of Operations
Phone
(414) 739-0690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8531 W Lisbon Ave
Milwaukee, WI 53222-3728

Mailing address

8531 W Lisbon Ave
Milwaukee, WI 53222-3728
Phone (414) 739-0690

Other practice location 1

2350 N 51st St
Milwaukee, WI 53210-2822
Phone (414) 739-0690

Other practice location 2

8500 W Fond Du Lac Ave
Milwaukee, WI 53225-2034
Phone (414) 739-0690

Other practice location 3

2350 N 51st St
Milwaukee, WI 53210-2822

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1699333161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8531 W LISBON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223728",
            "telephone_number": "414-739-0690",
            "fax_number": "262-661-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8531 W LISBON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223728",
            "telephone_number": "414-739-0690",
            "fax_number": "262-661-7491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 N 51st St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532102822",
            "country_code": "US",
            "telephone_number": "414-739-0690",
            "fax_number": "262-661-7491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8500 W Fond Du Lac Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532252034",
            "country_code": "US",
            "telephone_number": "414-739-0690",
            "fax_number": "262-661-7491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 N 51st St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532102822",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY INDEPENDENT LIVING SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "PEGUES",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "414-739-0690",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.