Serenity Village LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

SERENITY VILLAGE LLC

Practice address

2566 Bartel St
San Diego, CA 92123-3522

Phone

(858) 436-4845

NPI assigned

Jun 30, 2025

Organization subpart

No

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

Authorized official

Name

Diamond Ahmed

Title

Owner

Phone

(858) 436-4845

Specialties & licenses 1

Addresses

Other names 1

• Serenity Village Care Home Other name

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1821987215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 BARTEL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233522",
            "telephone_number": "858-256-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 BARTEL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233522",
            "telephone_number": "858-436-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "DIAMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-436-4845"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Village Care Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.