Serenity Care

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

SERENITY CARE

Practice address

135 NW Linneman Ave
Gresham, OR 97030-6248

Phone

(469) 455-4874

NPI assigned

Aug 20, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Nkusi

Title

President

Phone

(469) 455-4874

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1861224511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NW LINNEMAN AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970306248",
            "telephone_number": "469-455-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 NW LINNEMAN AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970306248",
            "telephone_number": "469-455-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "NKUSI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-455-4874",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Seale
• Darin Ray Seebeck, RPH.
• Dotty Seeley, LCSW
• Renee Marie Sellman, QMHA
• Seraphim Healthcare LLC
• Tamara Lynn Serhan, L.M.T
• Lynette Marie Sestric
• Christopher J Severson, CADC I
• Rachel Severson, QMHA
• Delia Sewell, N.D.

• Psychiatric Residential Treatment Facility in Gresham, OR
• Providers in Gresham, OR by specialty
• Psychiatric Residential Treatment Facility in Oregon

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