Serenova Healthcare Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERENOVA HEALTHCARE SERVICES

Practice address

4129 Miami St
Omaha, NE 68111-3432

Phone

(402) 279-6009

Fax

(402) 279-6009

NPI assigned

Mar 30, 2026

Organization subpart

No

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

Authorized official

Name

Edozie Nwagbara

Title

MBR

Phone

(402) 279-6009

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1952241176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 MIAMI ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681113432",
            "telephone_number": "402-279-6009",
            "fax_number": "402-279-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 MIAMI ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681113432",
            "telephone_number": "402-279-6009",
            "fax_number": "402-279-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENOVA HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "NWAGBARA",
        "authorized_official_first_name": "EDOZIE",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "402-279-6009"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": []
}

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• Xiomara Glass Serevin Aviles
• Marie C Seri
• Pedro Serrajordia
• Maria Serrano Lopez
• Ruby Serrano Martinez

• Assisted Living Facility in Omaha, NE
• Providers in Omaha, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.