Serenity Grove Assisted Living

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

SERENITY GROVE ASSISTED LIVING

Practice address

3704 Cass St
Omaha, NE 68131-1924

Phone

(402) 807-3716

NPI assigned

Oct 13, 2025

Last updated

Oct 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sakira Moss

Title

Owner

Phone

(402) 807-3716

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1952277519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 CASS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681311924",
            "telephone_number": "402-807-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 CASS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681311924",
            "telephone_number": "402-807-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY GROVE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "SAKIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-807-3716",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse's Aide in Omaha, NE
• Providers in Omaha, NE by specialty
• Nurse's Aide in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.