NPIMap

Organization Active NPI

Serene Homestead, LLC

  • Assisted Living Facility
  • Silver Spring, MD
National Provider Identifier
1871249136
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENE HOMESTEAD, LLC
Practice address
12606 Meadowood Dr
Silver Spring, MD 20904-2923
Phone
(240) 449-9418
Fax
(301) 768-4495
NPI assigned
Feb 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Mohammad Omar Dadi
Title
Ceo
Phone
(240) 449-9418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12606 Meadowood Dr
Silver Spring, MD 20904-2923

Mailing address

12606 Meadowood Dr
Silver Spring, MD 20904-2923
Phone (240) 449-9418

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1871249136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 MEADOWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042923",
            "telephone_number": "240-449-9418",
            "fax_number": "301-768-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 MEADOWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042923",
            "telephone_number": "240-449-9418",
            "fax_number": "301-768-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HOMESTEAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "DADI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-449-9418"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.