New Serenity L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEW SERENITY L.L.C.

Doing business as

New Serenity L.L.C.

Practice address

810 4TH Ave S Ste 138
Moorhead, MN 56560-2878

Phone

(218) 512-0365

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Tawanda Sheree Benjamin

Title

Chief Controlling Officer

Phone

(218) 512-0365

Specialties & licenses 1

Addresses

Other names 1

• New Serenity L.L.C. Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1881240224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 4TH AVE S STE 138",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602878",
            "telephone_number": "218-512-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 4TH AVE S STE 138",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602878",
            "telephone_number": "218-512-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SERENITY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "TAWANDA",
        "authorized_official_middle_name": "SHEREE",
        "authorized_official_title_or_position": "CHIEF CONTROLLING OFFICER",
        "authorized_official_telephone_number": "218-512-0365"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cco@newserenitycare.com",
            "affiliation": "N",
            "endpointDescription": "Cco@newserenitycare.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "810 4th Ave S Ste 138",
            "city": "Moorhead",
            "state": "MN",
            "country_code": "US",
            "postal_code": "565602878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "New Serenity L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bailey Nelson
• Elizabeth Nelson, MS, LADC, LPCC
• Jerald Jerome Nelson, LICSW
• Alexis Ness-Jensen
• New Perspectives LLP
• New Wellness Center, LLC
• Next Ride Taxi LLC
• Jennifer Ann Neznik, OTR/L
• Nicholas J. Gard, Licsw, PLLC
• Kelsey Nicklay

• Home Health Agency in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.