Serenity Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERENITY MANOR LLC

Practice address

8 The GRN Ste a
Dover, DE 19901-3618

Phone

(772) 202-8477

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Rochelle McGriff Jr.

Title

Ceo

Phone

(443) 307-6990

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1932929049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 THE GRN STE A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013618",
            "telephone_number": "772-202-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 THE GRN STE A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013618",
            "telephone_number": "772-202-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "MCGRIFF",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-307-6990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Latasha Selby, LCSW
• Kristen Marie Semenick, OD
• Julian Sementilli, M.D
• Serenity Health & Recovery
• Serenity House of Delaware
• Serenity Medical Transport
• Serenium Wellness Delaware Inc
• Andrea R Sergent
• Cheryl Edith Seronick
• Shanene Sewell, CERTIFIED DOULA

• Assisted Living Facility in Dover, DE
• Providers in Dover, DE by specialty
• Assisted Living Facility in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.