Serenity Ridge Care Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SERENITY RIDGE CARE CORPORATION

Practice address

15720 SE Francis Ave
Portland, OR 97267-3034

Phone

(651) 588-2062

NPI assigned

May 26, 2026

Organization subpart

No

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

Authorized official

Name

Kamal Mohamed KedirNPI 1376386805

Title

President

Phone

(651) 588-2062

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kamal Mohamed Kedir

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1376386805
  NPD Authorized official

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1750212072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 SE FRANCIS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972673034",
            "telephone_number": "651-588-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 SE FRANCIS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972673034",
            "telephone_number": "651-588-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY RIDGE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "KEDIR",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-588-2062"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serendipity Center Inc
• Serene Care Inc.
• Serenity Counseling and Wellness
• Serenity House Call
• Serenity Path LLC
• Evan Robert Serfass, MD
• Leo A.H. Sergeant, PT, COMT
• Alexandra Sergeeva, LCSW
• Lydia D Seright, LMFT
• Debra R Serlin, D.C.

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

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

Verify at the official NPI Registry.