Organization · Type 2 NPI
Serenity Group Home LLC
Adult Care Home Facility · De Pere, WI
NPI number
1659164465
Active
Practice location
1317 Crown Ct
De Pere, WI 54115-3815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1659164465
Serenity Group Home LLC's National Provider Identifier is 1659164465, issued on May 24, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in De Pere, WI. The record was last updated on May 24, 2025.