SERENITY HEALTHCARE LLC (NPI# 1366673063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366673063 |
| Entity Type | Organization |
| Organization Name | SERENITY HEALTHCARE LLC |
| Practice Address |
10 Brenway Dr West Hartford CT 06117-3054 |
| Practice Telephone | 8602068346 |
| Mailing Telephone | 8602068346 |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |
| Authorized Official Name | MRS. KANDI HAMLIN OBRIEN (OWNER) |
| Authorized Official Telephone | 8602068346 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 003877 | CT | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 003877 | CT | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073131975 | Serenity Healthcare LLC | Clinic/Center | 2580 W Chandler Blvd Ste 5, Chandler, AZ 85224-4924 | 2020-07-08 |
| 1306072210 | Serenity Healthcare LLC | Social Worker | 93 Main Street, Suite 300, Newton, NJ 07860 | 2009-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SERENITY HEALTHCARE LLC | 2817 Alameda, Medford, OR 97504 |
| Virginia Business Entities | Serenity Healthcare LLC | 3800 Poplar Hill Rd Ste D, Chesapeake, Virginia 23321 |
| Street Address |
10 BRENWAY DR |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154817237 | Mmp Therapy and Consulting | Community/Behavioral Health | 2475 Albany Avenue, West Hartford, CT 06117 | 2018-07-02 |
| 1669856555 | Noah Joseph Bluestone | Psychologist | 68 Soutth Main St, Suite 202, West Hartford, CT 06117 | 2015-07-10 |
| 1487040747 | Nancy Cabelus | Registered Nurse | 1678 Asylum Ave. Room 317, University of St. Joseph, West Hartford, CT 06117 | 2015-04-13 |
| 1124384276 | Louis Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Orchard Rd, West Hartford, CT 06117 | 2012-04-03 |
| 1720282882 | Ruth Kahn | Psychologist | 54 Mountain Brook Road, West Hartford, CT 06117 | 2007-06-13 |
| 1437370426 | Dana Orthodontics PC | Dentist | 2446 Albany Avenue, West Hartford, CT 06117 | 2007-05-01 |
| 1972723146 | Michelle Payson | Occupational Therapist | One Abrahms Boulevard, West Hartford, CT 06117 | 2007-04-27 |
| 1457579583 | Kathy A Mccloskey | Psychologist | 200 Bloomfield Avenue, University of Hartford, West Hartford, CT 06117 | 2007-04-23 |
| 1427181585 | Nancy L White | Naturopath | 10 Crossroads Plaza, West Hartford, CT 06117 | 2007-03-14 |
| 1689743452 | August C Olivar | Obstetrics & Gynecology | 2437 Albany Avenue, Suite 202, West Hartford, CT 06117 | 2006-11-07 |
| Find all providers in zip 06117 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023260890 | Richard Sklenar | Skilled Nursing Facility | 148 Westgate St, West Hartford, CT 06110-1871 | 2008-10-10 |
| 1669697983 | Mercyknoll, Inc | Skilled Nursing Facility | 243 Steele Rd, West Hartford, CT 06117-2741 | 2007-04-13 |
| 1124174131 | West Hartford Health & Rehabilitation Center | Skilled Nursing Facility | 130 Loomis Dr, West Hartford, CT 06107-2037 | 2007-01-25 |
| 1750460010 | Brookview Corp | Skilled Nursing Facility | 130 Loomis Drive, West Hartford, CT 06107 | 2006-11-06 |
| 1467554204 | Advanced Practice Elder Care | Skilled Nursing Facility | 60 Haynes Rd, West Hartford, CT 06117-2732 | 2006-09-02 |
| 1275515199 | Hughes Health and Rehabilitation Inc | Skilled Nursing Facility | 29 Highland St, West Hartford, CT 06119-1324 | 2005-11-16 |
| 1578544714 | Hebrew Home and Hospital, Inc | Skilled Nursing Facility | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2005-11-06 |
| 1366438236 | Haven Health Center of West Hartford, LLC | Skilled Nursing Facility | 2432 Albany Ave, West Hartford, CT 06117-2503 | 2005-09-26 |
| 1467907584 | Hebrew Home for Health and Rehabilitation LLC | Skilled Nursing Facility | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2016-08-18 |
| 1275784753 | 2432 Albany Avenue Operations LLC | Skilled Nursing Facility | 2432 Albany Ave, West Hartford, CT 06117-2503 | 2008-10-02 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06117 |
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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.