Provider Demographics
NPI:1528949237
Name:SERENITY LIVING, LLC
Entity type:Organization
Organization Name:SERENITY LIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-892-0757
Mailing Address - Street 1:5129 STANART ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3406
Mailing Address - Country:US
Mailing Address - Phone:757-892-0757
Mailing Address - Fax:757-277-0151
Practice Address - Street 1:5129 STANART ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3406
Practice Address - Country:US
Practice Address - Phone:757-892-0757
Practice Address - Fax:757-277-0151
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SERENITY LIVING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care