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SERENA ADULT CARELLC NPI 1053842898


NPI Information

NPI: 1053842898
Provider Name: SERENA ADULT CARELLC

Doing Business As: SERENA HOUSE

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
470 MAIN ST
APT #2
STONEHAM, MA
ZIP 02180
Phone: (857) 294-3986
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SERENA ADULT CARELLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Stoneham, MA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SERENA ADULT CARELLC NPI is 1053842898. The provider is registered as an organization entity type.
The provider Is Doing Business As Serena House.

The provider's business location address is:

470 MAIN ST
APT #2
STONEHAM, MA
ZIP 02180-628
Phone: (857) 294-3986

The provider's authorized official is Madiinah Namutebi .
The authorized official title is Executive Director and has the following contact phone number (857) 294-3986.

The enumeration date for this NPI number is 3/23/2017 and was last updated on 3/23/2017.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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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