Active NPI
Serenity House of Care, Inc.
Doing business as Serenity House of Care
- Community/Behavioral Health Agency
- Roseville, MI
National Provider Identifier
1982470688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SERENITY HOUSE OF CARE, INC.
- Doing business as
- Serenity House of Care
- Practice address
- 26280 Huntington St
Roseville, MI 48066-3439 - Phone
- (313) 633-3555
- NPI assigned
- Dec 4, 2023
- Last updated
- Dec 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabriell Maloy
- Title
- Executive Officer
- Phone
- (313) 633-3555
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | ||
| Community Based Hospice Care Agency | 251G00000X | NU | ||
| Nursing Care Agency | 251J00000X | NU | ||
| Developmental Disabilities Clinic/Center | 261QD1600X | NU | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Recovery Care Clinic/Center | 261QR0800X | NU | ||
| VA Clinic/Center | 261QV0200X | NU | ||
| Assisted Living Facility | 310400000X | NU | ||
| Assisted Living Facility (Mental Illness) | 3104A0625X | NU | ||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | NU | ||
| Lodging Provider | 177F00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Meals Provider | 174200000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
26280 Huntington St
Roseville, MI 48066-3439
Mailing address
26280 Huntington St
Roseville, MI 48066-3439
Phone (313) 633-3555
Other names 1
- Serenity House of Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701648000000",
"number": "1982470688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26280 HUNTINGTON ST",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480663439",
"telephone_number": "313-633-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26280 HUNTINGTON ST",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480663439",
"telephone_number": "313-633-3555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY HOUSE OF CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A",
"authorized_official_last_name": "MALOY",
"authorized_official_first_name": "GABRIELL",
"authorized_official_title_or_position": "EXECUTIVE OFFICER",
"authorized_official_telephone_number": "313-633-3555"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Serenity House of Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.