SERENITY RESIDENTIAL SERVICESS, LLC


Address: 6225 Wilmington Dr, Burke, VA 22015-3828
Phone: 7037185444

SERENITY RESIDENTIAL SERVICESS, LLC (NPI# 1790306934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790306934
Entity Type Organization
Organization Name SERENITY RESIDENTIAL SERVICESS, LLC
Practice Address 6225 Wilmington Dr
Burke
VA 22015-3828
Practice Telephone 7037185444
Mailing Telephone 7037185444
Enumeration Date 2020-04-28
Last Update Date 2020-04-28
Authorized Official Name MARGARET MBESEHA (CEO)
Authorized Official Telephone 7037185444
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 6225 WILMINGTON DR
City BURKE
State VA
Zip Code 22015-3828

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346876182 Fereshteh Khodaei Shahrokhi Social Worker Lyngate Ct, Suite 200, Burke, VA 22015 2020-03-12
1255891594 Dental Care Burke Clinic/Center 9239 Old Keene Road, Burke, VA 22015 2019-03-22
1659866846 Yasamin Abbaszadeh Rasool Dentist 9006 Crownwood Ct, Unit A, Burke, VA 22015 2018-06-29
1407228463 Burke Dental, Pllc Dentist 9006 Fern Park Dr., Suite A, Burke, VA 22015 2015-10-29
1255717575 Chara Civitello Occupational Therapist 5804 Chase Commons Court Apt 207, Burke, VA 22015 2015-08-10
1235576745 Pediatric Dentistry of Burke PC Dentist 5284 Lyngate Court, Burke, VA 22015 2013-05-24
1477801074 Grace T Neria Nutritionist 9108 Lyon Park Court, Burke, VA 22015 2012-08-29
1467711366 Julio A Dejo Md PC Internal Medicine 8998 Fern Park Dr., Burke, VA 22015 2012-05-11
1720373046 Neelima Neelapala Physical Therapist 5982 Annaberg Pl, Burke, VA 22015 2011-06-15
1528294980 Veena Rani Puri Butler Nurse Practitioner 8988 Fern Park Drive, Burke, VA 22015 2009-05-29
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275178949 Blessed Group Homes Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6101 Mantlepiece Ct, Burke, VA 22015-3239 2019-11-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457952905 Amazing Hands Health Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 25873 Kirkwood Sq, Chantilly, VA 20152-2086 2020-11-02
1568069987 New Development Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4610 Milfax Rd, North Chesterfield, VA 23224-5604 2020-10-08
1114524766 Latoya Steward Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 805 Admiral Gravely Blvd, Richmond, VA 23231 2020-10-07
1780281808 Romco Enterprises, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3409 Scott St, Portsmouth, VA 23707-4001 2020-10-01
1710596051 Dare To Dream Family Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2905 Steed Ct, Chesapeake, VA 23323-2843 2020-07-22
1780208660 Excel Family Services of Virginia, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1100 Hubbell Dr, Virginia Beach, VA 23454-5633 2020-06-05
1366064313 Monica Lotoria Ballou Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1345 N Main St, Danville, VA 24540-3721 2020-05-13
1407483316 Lighthouse Residential Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5219 Summerleaf Dr, North Chesterfield, VA 23234-2817 2020-03-23
1457983538 Rokel Health Care Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7905 Dassett Ct Apt 304, Annandale, VA 22003-4878 2020-02-06
1790316388 Precious Healthcare LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6732 Harrison Ln, Alexandria, VA 22306-1526 2020-02-01
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City BURKE
Zip Code 22015

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Dataset Information

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.

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