Active NPI
Serene Living Services Limited Liability Company
- Home Health Agency
- Pottstown, PA
National Provider Identifier
1821551987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SERENE LIVING SERVICES LIMITED LIABILITY COMPANY
- Practice address
- 152 E High St Ste 440B
Pottstown, PA 19464-5400 - Phone
- (267) 467-9256
- Fax
- (610) 340-4001
- NPI assigned
- Apr 7, 2019
- 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
- Mr. Donald Taurai Mugomba
- Title
- Administrator
- Phone
- (267) 467-9256
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
152 E High St Ste 440B
Pottstown, PA 19464-5400
Mailing address
152 E High St Ste 440B
Pottstown, PA 19464-5400
Phone (267) 467-9256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037631950001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
152 E High St
Ste 440B
Pottstown, PA 19464
Phone (267) 467-9256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708128000000",
"number": "1821551987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 E HIGH ST STE 440B",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194645400",
"telephone_number": "267-467-9256",
"fax_number": "610-340-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 E HIGH ST STE 440B",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194645400",
"telephone_number": "267-467-9256",
"fax_number": "610-340-4001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENE LIVING SERVICES LIMITED LIABILITY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-07",
"last_updated": "2024-02-17",
"certification_date": "2024-02-17",
"status": "A",
"authorized_official_last_name": "MUGOMBA",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "TAURAI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "267-467-9256",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"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": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1037631950001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.