Serene Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

23S682 Issued in CO

Legal business name

SERENE ASSISTED LIVING

Practice address

2640 S Jersey St
Denver, CO 80222-6322

Phone

(720) 550-7127

Fax

(720) 550-7127

NPI assigned

Feb 18, 2016

Organization subpart

No

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

Authorized official

Name

Roy Ardhana Lie

Title

General Manager

Phone

(303) 668-2578

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1851750806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 S JERSEY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226322",
            "telephone_number": "720-550-7127",
            "fax_number": "720-550-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 S JERSEY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226322",
            "telephone_number": "720-550-7127",
            "fax_number": "720-550-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "LIE",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "ARDHANA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "303-668-2578"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23S682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Denver, CO
• Providers in Denver, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.