Serenity Shore Assisted Living Facility, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERENITY SHORE ASSISTED LIVING FACILITY, LLC

Practice address

1883 W Glenlord Rd
Stevensville, MI 49127-9560

Phone

(269) 408-8547

Fax

(269) 471-5501

NPI assigned

Jun 4, 2019

Last updated

Jun 4, 2019By 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

Yogarajah Stanley Saverus, RN

Title

Owner

Phone

(269) 277-0970

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hagop P Ghazarian, DPM

  • Podiatrist
  • Mattawan, MI
  • NPI 1609820331
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1982262937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 ROSE DR",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491039510",
            "telephone_number": "269-471-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 W GLENLORD RD",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279560",
            "telephone_number": "269-408-8547",
            "fax_number": "269-471-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SHORE ASSISTED LIVING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "SAVERUS",
        "authorized_official_first_name": "YOGARAJAH",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-277-0970",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RMC Counseling
• Eli Sager, D.O.
• Robert Sanders
• Christopher Todd Schultz, D.C.
• Georg C Schultz, MD
• Carol Ann Shaver, EDD
• Meredith Sheldon, LPC
• Angela Shuey, LCPC
• David Anderson Siewert, DDS
• Elizabeth Simcox, NP-C

• Assisted Living Facility in Stevensville, MI
• Providers in Stevensville, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.