SERENITY TREE SERVICES LLC NPI 1154751261

NPI Information

NPI: 1154751261
Provider Name: SERENITY TREE SERVICES LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4445 20TH ST NW STE A
CANTON, OH
ZIP 44708
Phone: (234) 458-2002
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SERENITY TREE SERVICES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Canton, OH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SERENITY TREE SERVICES LLC NPI is 1154751261. The provider is registered as an organization entity type.

The provider's business location address is:

4445 20TH ST NW STE A
CANTON, OH
ZIP 44708-160
Phone: (234) 458-2002
Fax: (330) 576-5918

The provider's authorized official is Sharonda M Reese .
The authorized official title is Ceo/ Director Of Operations and has the following contact phone number (234) 458-2002.

The enumeration date for this NPI number is 11/26/2013 and was last updated on 12/3/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	347C00000X	Private Vehicle		No
3	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Yes

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: 5/5/2024

NPI Synchronization or Removal

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