# SERENITY GROVE ASSISTED LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952277519
- **Authorized official:** MS. SAKIRA MOSS (OWNER)
- **Authorized official phone:** (402) 807-3716

## Contact information

- **Practice address:** 3704 CASS ST, OMAHA, NE 68131-1924
- **Practice address phone:** (402) 807-3716
- **Mailing address:** 3704 CASS ST, OMAHA, NE 68131-1924
- **Mailing address phone:** (402) 807-3716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376K00000X | Nurse's Aide | — | NULL | Yes |
| 376K00000X | Nurse's Aide | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2025
- **Last updated:** 10/13/2025