SERENITY COMMUNITY SERVICES (NPI# 1477889749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477889749 |
| Entity Type | Organization |
| Organization Name | SERENITY COMMUNITY SERVICES |
| Practice Address |
4405 Mall Boulevard Suite 310 Union City USA USA UM |
| Mailing Address |
4405 Mall Blvd Suite 310 Union City GA 30291-2044 |
| Practice Telephone | 7708923200 |
| Mailing Telephone | 7708923200 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2012-08-16 |
| Authorized Official Name | MELANIE L PONDER-WRIGHT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7708923200 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
4405 MALL BOULEVARD SUITE 310 |
| City | UNION CITY |
| State | USA |
| Zip Code | USA |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204137 | Carol Jones | Homemaker | 332 N Walnut St, Union City, OH 45390-1766 | 2020-10-27 |
| 1356940191 | Pacifica Union City LLC | Assisted Living Facility | 33883 Alvarado Niles Rd, Union City, CA 94587-4349 | 2020-10-22 |
| 1972101913 | Revonia Lynn | Technician, Pathology | 4630 Rolling Brook Ct, Union City, GA 30291-6524 | 2020-10-12 |
| 1326646639 | Yolanda Glover-harden | Licensed Practical Nurse | 6214 Hickory Lane Cir, Union City, GA 30291-5509 | 2020-10-09 |
| 1639776933 | Jeongsim Kim Izadi | Registered Nurse | 2814 Montair Pl, Union City, CA 94587-1680 | 2020-10-08 |
| 1144836636 | Veronica Montenegro | Massage Therapist | 109 39th St Apt 2, Union City, NJ 07087-6101 | 2020-09-20 |
| 1184239998 | Ruth Castro | Physical Therapy Assistant | 4706 Bergenline Ave, Union City, NJ 07087-5112 | 2020-09-09 |
| 1912511627 | Verta Latimore | Massage Therapist | 270 Perry Ln, Union City, GA 30291-3412 | 2020-09-01 |
| 1073126983 | Raena A Juarez | Assistant Behavior Analyst | 2488 Shield Dr, Union City, CA 94587-1925 | 2020-08-28 |
| 1619580107 | Anzule Navarrete | Pediatrics | 3196 John F Kennedy Blvd, Union City, NJ 07087 | 2020-08-25 |
| Find all providers in UNION CITY | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194270694 | Seneca Family of Agencies | Community/Behavioral Health | 100 Decoto Rd, Union City, CA 94587-3572 | 2016-08-25 |
| 1730548389 | Nuvia Pitty | Community/Behavioral Health | 34888 11th St Apt 534, Union City, CA 94587-8550 | 2016-02-10 |
| 1568705341 | Seneca Family of Agencies | Community/Behavioral Health | 33629 15th St, Union City, CA 94587-3322 | 2013-04-01 |
| 1972846673 | Seneca Family of Agencies | Community/Behavioral Health | 2801 Hop Ranch Rd Rm D3, Union City, CA 94587-5708 | 2013-04-01 |
| 1336421486 | Health Path Consulting Services LLC | Community/Behavioral Health | 204 18th St, Union City, NJ 07087-5438 | 2011-09-14 |
| 1801176003 | East Bay Agency for Children | Community/Behavioral Health | 1800 H St, Logan, Union City, CA 94587-3321 | 2011-08-19 |
| 1629384060 | Eternal Hope and Life, LLC | Community/Behavioral Health | 7349 Poppy Way, Union City, GA 30291-3411 | 2010-08-24 |
| 1184953168 | Pabsunlimited Inc | Community/Behavioral Health | 567 Shannon Mall, Union City, GA 30291-2029 | 2009-12-21 |
| 1740322635 | Tinawane Family Services | Community/Behavioral Health | 5090 Alexander Ave, Union City, GA 30291-1140 | 2007-02-14 |
| 1003305483 | The Alliance for Community Wellness | Community/Behavioral Health | 1800 H St, Union City, CA 94587-3321 | 2018-05-01 |
| Find all providers in UNION CITY | ||||
| City | UNION CITY |
| Zip Code | USA |
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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.