Serenity House LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SERENITY HOUSE LLC

Practice address

5421 Stone LN
Richmond, VA 23227-2647

Phone

(804) 405-9743

Fax

(866) 681-2172

NPI assigned

Feb 25, 2021

Organization subpart

No

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

Authorized official

Name

Yvette Allen-TatumNPI 1639061310

Title

Chief Executive Officer/Program Dir

Phone

(804) 405-9743

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvette Allen-Tatum, LPC

  • Professional Counselor
  • Richmond, VA
  • NPI 1639061310
  NPD Authorized official

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1831783216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 CEDAR SUMMIT RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232890",
            "telephone_number": "804-405-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 STONE LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272647",
            "telephone_number": "804-405-9743",
            "fax_number": "866-681-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN-TATUM",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/PROGRAM DIR",
        "authorized_official_telephone_number": "804-405-9743"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.