Serenity Adult Foster Care Home LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

AL830272541 Issued in MI

Legal business name

SERENITY ADULT FOSTER CARE HOME LLC

Practice address

2883 S. 41 Rd.
Cadillac, MI 49601

Phone

(231) 876-1956

Fax

(231) 876-1955

NPI assigned

Jul 29, 2013

Last updated

Jul 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Loraine Bruni

Title

Owner

Phone

(231) 920-8471

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1841632007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 S. 41 RD",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "49601",
            "telephone_number": "231-876-1956",
            "fax_number": "231-876-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 S. 41 RD.",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "49601",
            "telephone_number": "231-876-1956",
            "fax_number": "231-876-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ADULT FOSTER CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "BRUNI",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LORAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-920-8471"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AL830272541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9600882",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jersey Rae Scott
• Penny Scott, LBSW, QMRP
• Jo Nel Scovel, D.O.
• Elaine Catherine Seaberg
• James Scott Seel, H.I.S.
• Benjamin Jarvis Seymour, DDS
• James David Shadoan, MD
• Ella Rose Shafer
• Sheri Sheese, MSW,ACSW,LMSW
• Carson Donald Shell, D.D.S.

• Foster Care Agency in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.