Serenity Community Wellness Centers

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SERENITY COMMUNITY WELLNESS CENTERS

Practice address

4040 N Martin Luther King Blvd
North Las Vegas, NV 89032

Phone

(702) 331-9619

Fax

(702) 331-7078

NPI assigned

Feb 24, 2016

Last updated

Feb 24, 2016By 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

Dr. Toney W Stephenson, PSYDNPI 1780964007

Title

Founder & Managing Member

Phone

(702) 204-0150

Specialties & licenses 2

Addresses

Locations

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.

• Toney Wendell Stephenson

  • Case Manager/Care Coordinator
  • Las Vegas, NV
  • NPI 1780964007
  Authorized official Same address or phone

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1760842454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 HELENS POUROFF AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890854460",
            "telephone_number": "702-204-0150",
            "fax_number": "702-586-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 N MARTIN LUTHER KING BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-331-9619",
            "fax_number": "702-331-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COMMUNITY WELLNESS CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "TONEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "FOUNDER & MANAGING MEMBER",
        "authorized_official_telephone_number": "702-204-0150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathyas Sequeira
• Sergio Enrique Sequera
• Darlito Serafica, M.D.
• Serenity Abf Hospice Care LLC
• Serenity Community Care and Behavioral Health
• Serenity Life LLC
• Serenity of Life
• Theresa Serna, RD
• Christine V Frial Servando, PMHNP
• Servant's Heart Community Care Services LLC (Servant's Heart Community Care Services)

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.