Organization Active NPI

Serene Living Services Limited Liability Company

  • Home Health Agency
  • Pottstown, PA
National Provider Identifier
1821551987
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Feb 17, 2024

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)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1037631950001MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.