SERENITY BLUE LLC (NPI# 1174131783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174131783 |
| Entity Type | Organization |
| Organization Name | SERENITY BLUE LLC |
| Practice Address |
2232 Chatham Way Harrisburg PA 17110-3959 |
| Mailing Address |
2405 Linglestown Rd Ste 1 Harrisburg PA 17110-9429 |
| Practice Telephone | 8582458327 |
| Mailing Telephone | 8582458327 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | ESTER MBAYA (PRESIDENT) |
| Authorized Official Telephone | 8582458327 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
2232 CHATHAM WAY |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17110-3959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487008660 | Mission Health, LLC | Hospice Care, Community Based | 2232 Chatham Way, Harrisburg, PA 17110-3959 | 2016-04-14 |
| 1841745114 | Samaritan Hands Services, LLC | Hospice Care, Community Based | 2232 Chatham Way, Harrisburg, PA 17110-3959 | 2016-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993271 | Christopher William Delong | Nurse Practitioner | 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 | 2019-10-14 |
| 1306490701 | Melissa Ann Duchesne | Registered Nurse | 2501 North 3rd Street, Landis Building 7th Floor, Harrisburg, PA 17110 | 2019-07-25 |
| 1558845024 | Mary Kaitlin Novak | Counselor | 3605 Vartan Way, Suite 204a, Harrisburg, PA 17110 | 2018-09-20 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1356897938 | Millonee Dialysis LLC | Clinic/Center | 4390 Sturbridge Dr, Harrisburg, PA 17110 | 2016-09-01 |
| 1538529268 | Ergency Associates LLC | Emergency Medical Technician, Basic | 2323 Linglestown Road, Unit 201b, Harrisburg, PA 17110 | 2016-02-23 |
| 1134514904 | Benjamin Daniel Chan | Student in an Organized Health Care Education/Training Program | Kline Health Center, 2501 N. Third St., 2nd Floor, Landis Building, Harrisburg, PA 17110 | 2015-03-30 |
| 1013317411 | Robert Derner Jr. | Counselor | 2700 Commerce Dr., Harrisburg, PA 17110 | 2014-09-04 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1962791905 | Paul Schaffner Stoner Sr. | General Practice | 4500 Oakhurst Blvd., Apt 319, Harrisburg, PA 17110 | 2011-03-30 |
| Find all providers in zip 17110 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
| 1356897938 | Millonee Dialysis LLC | Clinic/Center | 4390 Sturbridge Dr, Harrisburg, PA 17110 | 2016-09-01 |
| 1740690064 | Fenton Dialysis LLC | Clinic/Center | 303 S Commercial St Ste 15, Harrisburg, IL 62946-2125 | 2014-05-08 |
| 1629330469 | Cedar Dialysis LLC | Clinic/Center | 479 Port View Dr, Ste B21, Harrisburg, PA 17111-1229 | 2012-06-07 |
| 1063516839 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 1300 Linglestown Rd, Harrisburg, PA 17110-2838 | 2006-09-12 |
| 1952405821 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 4343 Union Deposit Rd, Union Court, Harrisburg, PA 17111-2907 | 2006-09-12 |
| 1801901640 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 275 Small St, Harrisburg, IL 62946-3352 | 2006-08-20 |
| 1609136019 | Axolotl, LLC | Clinic/Center | 130 E Clark St, Harrisburg, IL 62946-2700 | 2012-05-18 |
| 1841394624 | Renal Care Group East, Inc. | Clinic/Center | 2601 N 3rd St, Harrisburg, PA 17110-2046 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157123 | Fresenius Medical Care Southwest Pittsburgh, LLC | Clinic/Center | 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 | 2020-08-31 |
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
| 1588214498 | Dialysis Care Center Lebanon LLC | Clinic/Center | 550 Isabel Dr Ste 1, Lebanon, PA 17042-7205 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17110 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.