NPIMap

Organization Active NPI

A Serene Life LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • West Deptford, NJ
National Provider Identifier
1982373932
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
A SERENE LIFE LLC
Practice address
100 Lionheart LN
West Deptford, NJ 08086-2253
Phone
(856) 392-1123
NPI assigned
Sep 12, 2021
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Ms. Ashley Willis
Title
Owner
Phone
(856) 392-1123

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

100 Lionheart LN
West Deptford, NJ 08086-2253

Mailing address

100 Lionheart LN
West Deptford, NJ 08086-2253
Phone (856) 392-1123

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL aserenelifeLLC@outlook.com
Other URL aserenelifeLLC@outlook.com Other A Serene Life LLC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1982373932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LIONHEART LN",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862253",
            "telephone_number": "856-392-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LIONHEART LN",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862253",
            "telephone_number": "856-392-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SERENE LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-12",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-392-1123",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aserenelifeLLC@outlook.com",
            "affiliation": "N",
            "address_1": "2103 Brand Ave",
            "city": "Clementon",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080214232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aserenelifeLLC@outlook.com",
            "affiliation": "Y",
            "affiliationName": "A Serene Life LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "business email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business email",
            "address_1": "100 Lionheart Ln",
            "city": "West Deptford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080862253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.