SERENITY HOUSE ASSISTED LIVING INC NPI 1972727758

NPI Information

NPI: 1972727758
Provider Name: SERENITY HOUSE ASSISTED LIVING, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 06D2231011

Address:
5290 E YALE CIR STE 209
DENVER, CO
ZIP 80222
Phone: (303) 584-8926
Get Directions

SERENITY HOUSE ASSISTED LIVING, INC is an assisted living facility in Denver, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SERENITY HOUSE ASSISTED LIVING, INC NPI is 1972727758. The provider is registered as an organization entity type.

The provider's business location address is:

5290 E YALE CIR STE 209
DENVER, CO
ZIP 80222-933
Phone: (303) 584-8926
Fax: (303) 584-9508

The provider's authorized official is Michael Warren Zislis .
The authorized official title is President and has the following contact phone number (303) 584-8926.

The CLIA number assigned to this NPI record is 06D2231011 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 4/19/2016.

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
1	310400000X	Assisted Living Facility		AL-0378	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	99189542	MEDICAID	COLORADO
2	95529284	MEDICAID	COLORADO
3	33037027	MEDICAID	COLORADO
4	59384735	MEDICAID	COLORADO
5	57787069	MEDICAID	COLORADO
6	76539873	MEDICAID	COLORADO
7	42377820	MEDICAID	COLORADO
8	53278771	MEDICAID	COLORADO
9	63581582	MEDICAID	COLORADO
10	50536788	MEDICAID	COLORADO
11	97354520	MEDICAID	COLORADO
12	09478876	MEDICAID	COLORADO
13	50053230	MEDICAID	COLORADO
14	20728352	MEDICAID	COLORADO
15	78981824	MEDICAID	COLORADO
16	18202586	MEDICAID	COLORADO

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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