Organization Active NPI

Serenity Home Inc.

  • Assisted Living Facility (Mental Illness)
  • Middleboro, MA
National Provider Identifier
1780717660
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
853 Issued in MA
Legal business name
SERENITY HOME INC.
Practice address
98 S Main St
Middleboro, MA 02346-2123
Phone
(508) 947-2155
Fax
(508) 946-2626
NPI assigned
Mar 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven J Landolfi
Title
Treasurer
Phone
(774) 240-9574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 853 MA Primary

Addresses

Primary practice location

98 S Main St
Middleboro, MA 02346-2123

Mailing address

2 Alberta LN
Lakeville, MA 02347-1864
Phone (774) 213-5880

Other identifiers 1

IdentifierTypeStateIssuer
5508789MedicaidMA

National Provider Directory

National Provider Directory

Locations

98 S Main St
Middleboro, MA 02346
Phone (508) 947-2155

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780717660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALBERTA LN",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471864",
            "telephone_number": "774-213-5880",
            "fax_number": "774-213-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 S MAIN ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462123",
            "telephone_number": "508-947-2155",
            "fax_number": "508-946-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANDOLFI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "774-240-9574"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MA",
            "license": "853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5508789",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.