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SERENITY FACILITY LLC NPI 1043622970


NPI Information

NPI: 1043622970
Provider Name: SERENITY FACILITY LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
18514 BLACKMOOR ST
DETROIT, MI
ZIP 48234
Phone: (313) 805-4727
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SERENITY FACILITY LLC is an in home supportive care in Detroit, MI. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. SERENITY FACILITY LLC NPI is 1043622970. The provider is registered as an organization entity type.

The provider's business location address is:

18514 BLACKMOOR ST
DETROIT, MI
ZIP 48234-887
Phone: (313) 805-4727
Fax: (248) 862-6425

The provider's authorized official is Sonya Smith .
The authorized official title is Administrator and has the following contact phone number (313) 205-0663.

The enumeration date for this NPI number is 5/27/2014 and was last updated on 5/27/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2320700000XResidential Treatment Facility, Physical DisabilitiesNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4253Z00000XIn Home Supportive CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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