Organization Active NPI

Serenity Group LLC

Doing business as Serenity Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1750090080
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SERENITY GROUP LLC
Doing business as
Serenity Group
Practice address
2373 Sag Harbor Dr
Las Vegas, NV 89104-5079
Phone
(786) 355-3712
NPI assigned
Nov 15, 2022
Last updated
Nov 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Kenny Castillo CabreraNPI 1225774037
Title
Manager Member
Phone
(786) 355-3712

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2373 Sag Harbor Dr
Las Vegas, NV 89104-5079

Mailing address

2373 Sag Harbor Dr
Las Vegas, NV 89104-5079
Phone (786) 355-3712

Other names 1

  • SERENITY GROUP Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1750090080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 SAG HARBOR DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045079",
            "telephone_number": "786-355-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 SAG HARBOR DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045079",
            "telephone_number": "786-355-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "CASTILLO CABRERA",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "786-355-3712"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERENITY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.