SERENITY RECUPERATIVE CARE NPI 1215749718

NPI Information

  • NPI: 1215749718
  • Provider Name: SERENITY RECUPERATIVE CARE
  • Classification: Clinic/Center - 261QR0800X
  • Specialization: Recovery Care
  • Entity Type: Organization
  • Address: 360 SHERMAN ST STE 400
    SAINT PAUL, MN
    ZIP 55102
  • Phone: (612) 806-4750

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NPI Details

SERENITY RECUPERATIVE CARE is a recovery care clinic center in Saint Paul, MN. SERENITY RECUPERATIVE CARE NPI is 1215749718. The provider is registered as an organization entity type.

The provider's business location address is:

360 SHERMAN ST STE 400
SAINT PAUL, MN
ZIP 55102-425
Phone: (612) 806-4750

The provider's authorized official is Khalid Samatar .
The authorized official title is President and has the following contact phone number (612) 806-4750.

The enumeration date for this NPI number is 1/22/2025 and was last updated on 1/22/2025.

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 License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261Q00000XClinic/CenterNo
3261QR0800XClinic/CenterRecovery CareYes
4385H00000XRespite CareNo

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: 11/21/2025

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