Serenity Support, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

SERENITY SUPPORT, LLC

Practice address

2790 N 151St Ave
Goodyear, AZ 85395-2059

Phone

(714) 270-8221

NPI assigned

Nov 16, 2022

Last updated

Nov 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fabiola Bimuso Ful

Title

Ceo

Phone

(714) 270-8221

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1699484899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 N 151ST AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952059",
            "telephone_number": "714-270-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 N 151ST AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952059",
            "telephone_number": "714-270-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "FUL",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_middle_name": "BIMUSO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-270-8221"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "serenitysupport.mybizcloud.co",
            "affiliation": "N",
            "endpointDescription": "serenitysupport.mybizcloud.co",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure portal",
            "address_1": "2790 N 151st Ave",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853952059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric Seabaugh
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• Daniel Ray Selby Jr., PT
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• Serene Health
• Melissa Suzanne Serpico
• Katrina Sese, RN
• Shannon L Seyedan, LCSW, LISAC
• Hind Shabany, M.D.
• Firas N Shadad, MD

• Nursing Care Agency in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Nursing Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.