SERENE LIVING LLC (NPI# 1265041446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265041446 |
| Entity Type | Organization |
| Organization Name | SERENE LIVING LLC |
| Practice Address |
1567 Shirley Dr New Orleans LA 70114-2911 |
| Mailing Address |
1317 Dupas St Gretna LA 70053-3710 |
| Practice Telephone | 5043191769 |
| Practice Fax Number | 5043837448 |
| Mailing Telephone | 5043191769 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | CHERRELL LYNETTE THOMPSON (CEO) |
| Authorized Official Telephone | 5043191769 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516188 | Serene Living LLC | Residential Treatment Facility, Emotionally Disturbed Children | 4032 Erato St, New Orleans, LA 70125-1918 | 2020-07-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SERENE LIVING LLC | 2103 Se 130th Ave, Portland, OR 97233 |
| Massachusetts Corporations | SERENE LIVING LLC | 446 West St., East Bridgewater, MA 02333 |
| Street Address |
1567 SHIRLEY DR |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70114-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789645 | Reginald A Parquet | Social Worker | 3510 General Meyer Avenue, New Orleans, LA 70114 | 2019-03-14 |
| 1386114957 | Trenai' Augusta Lewis | Registered Nurse | Use 3100 General Degaulle, New Orleans, LA 70114 | 2018-11-27 |
| 1003335522 | Samiyya Antoinette Degree | Case Manager/Care Coordinator | 1525 L B Landry Ave, New Orleans, LA 70114 | 2017-09-15 |
| 1972021533 | Latara Mack | Counselor | Louisiana Support Services 3630 Macarthur Blvd, New Orleans, LA 70114 | 2017-09-05 |
| 1053837419 | Jemal Causey | Counselor | 1210 Belleville Street, New Orleans, LA 70114 | 2017-08-17 |
| 1528590320 | Brandon Christopher Shelly | Case Manager/Care Coordinator | 1110 Thayer St, New Orleans, LA 70114 | 2017-03-30 |
| 1639618820 | Livegood At Home Care Services LLC | In Home Supportive Care | 1048 Flanders Street, New Oreans, LA 70114 | 2017-02-21 |
| 1215472733 | Shannon Newell | Counselor | 1927 Flanders, New Orleans, LA 70114 | 2016-12-20 |
| 1285177899 | Shannon Delavallade | Case Manager/Care Coordinator | 1300 Evelina St, New Orleans, LA 70114 | 2016-11-30 |
| 1770026395 | Grant Burns Jr. | Counselor | 3520 General Degaulle Dr Ste 4070, New Orleans, LA 70114 | 2016-11-30 |
| Find all providers in zip 70114 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346457868 | Allied Health Care, L.L.C. | Intermediate Care Facility, Mental Illness | 1982 Barbara Ln, Mamou, LA 70554-5209 | 2007-05-16 |
| 1790990588 | Harmony Center, Inc. | Intermediate Care Facility, Mental Illness | 1244 Florida Blvd, Baton Rouge, LA 70802-4632 | 2007-05-14 |
| 1568676286 | Louisiana Special Education Center | Intermediate Care Facility, Mental Illness | 5400 Coliseum Blvd, Alexandria, LA 71303-3705 | 2007-05-10 |
| 1194939777 | Harmony Center, Inc. | Intermediate Care Facility, Mental Illness | 125 North 13th Street, Baton Rouge, LA 70802 | 2007-05-10 |
| 1063626612 | Harmony Center, Inc. | Intermediate Care Facility, Mental Illness | 70223 N. Rainey Street, Tangipohoa, LA 70465 | 2007-05-10 |
| 1174737720 | Harmony Center, Inc. | Intermediate Care Facility, Mental Illness | 1551 Cb Temple Sr. Road, Kentwood, LA 70444 | 2007-05-10 |
| 1932313517 | Harmony Center, Inc. | Intermediate Care Facility, Mental Illness | 427-29 North 13th Street, Baton Rouge, LA 70802 | 2007-05-10 |
| 1396958740 | Harmony Center, Inc. | Intermediate Care Facility, Mental Illness | 1536 Goudchaux St, Baton Rouge, LA 70807-6103 | 2007-05-08 |
| 1598986358 | Allied Health Care, L.L.C. | Intermediate Care Facility, Mental Illness | 2204 38th St, Kenner, LA 70065-3518 | 2007-05-01 |
| 1437297629 | Allied Health Care, L.L.C. | Intermediate Care Facility, Mental Illness | 1607 Garden St, Kenner, LA 70065-4424 | 2007-02-01 |
| Find all providers with the same taxonomy | ||||
| City | NEW ORLEANS |
| Zip Code | 70114 |
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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.