A SERENE LIFE LLC – NPI #1982373932
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

A SERENE LIFE LLC is a residential treatment facility located in WEST DEPTFORD, NJ. NPPES has assigned the NPI number 1982373932 to A SERENE LIFE LLC on September 12, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 4 years ago on Oct 31, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for A SERENE LIFE LLC below.

NPI Profile for
A SERENE LIFE LLC

NPI Number
1982373932
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
A SERENE LIFE LLC
Primary location
100 LIONHEART LN
WEST DEPTFORD, NJ 08086-2253
Phone: (856) 392-1123 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ASHLEY WILLIS
OWNER
Phone: (856) 392-1123
Updated
Certification Date
Oct 31, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for A SERENE LIFE LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNJ0450615722
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Other URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2103 BRAND AVE,
CLEMENTON, NJ 77025-1669

Endpoint
[email protected]
Endpoint type
Other URL
Endpoint Description
Content Type
OTHER
Affiliation
Y
Endpoint Location
100 LIONHEART LN,
WEST DEPTFORD, NJ 77025-1669