Active NPI
Serenity Homes Wellness LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Hutto, TX
National Provider Identifier
1750202248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- SERENITY HOMES WELLNESS LLC
- Practice address
- 315 Doodle LN
Hutto, TX 78634-2461 - Phone
- (419) 509-6029
- NPI assigned
- Jul 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jedli Azinwe Ndifor
- Title
- Ceo
- Phone
- (240) 437-8462
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
315 Doodle LN
Hutto, TX 78634-2461
Mailing address
315 Doodle LN
Hutto, TX 78634-2461
Phone (419) 509-6029
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784678400000",
"number": "1750202248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 DOODLE LN",
"city": "HUTTO",
"state": "TX",
"postal_code": "786342461",
"telephone_number": "419-509-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 DOODLE LN",
"city": "HUTTO",
"state": "TX",
"postal_code": "786342461",
"telephone_number": "419-509-6029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY HOMES WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-22",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A",
"authorized_official_last_name": "NDIFOR",
"authorized_official_first_name": "JEDLI",
"authorized_official_middle_name": "AZINWE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-437-8462"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hutto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.