Organization
SERENITY HOMES-NORTH
Active
Parent organization
SERENITY HOMES-WEST L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SERENITY HOMES-WEST L.L.C.
Authorized official
MR. ABRAHAM, JOSHUA M.P.A. (PRESIDENT/ADMINISTRATOR)
(616) 361-6571
Entity
Organization
Contact information
Practice address
830 HAYES ST, MARNE, MI 49435-9792
(616) 677-6015
(616) 431-5021
Mailing address
3109 LAWTON DR NE, GRAND RAPIDS, MI 49525-2916
(616) 361-6571
(616) 361-0852
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL700316956
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097737
—
MI
Enumeration date
09/24/2013
Last updated
09/24/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up