1. Home
  2. Directory
  3. Minnesota
  4. Dilworth
  5. Assisted Living Facility
  6. NPI Profile

SERENITY ASSISTED LIVING
NPI 1003289406
Assisted Living Facility in Dilworth, MN

Active since November 06, 2015CLIA Certified · 3 labs
1125 OAKVIEW DR, DILWORTH, MN 56529(218) 477-7254(218) 477-7255 Get Directions Write a Review

NPPES record last updated: November 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Serenity Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY ASSISTED LIVING (NPI 1003289406) is a healthcare organization registered as an assisted living facility in Dilworth, Minnesota and active in the NPI registry since November 2015. The organization holds 3 active CLIA laboratory certificates and lists Richard Anderson, Manager, as its authorized official.

NPPES Registry Identity

NPI1003289406
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSERENITY LIVING CENTER
Location Address1125 OAKVIEW DRDilworth, MN 56529-1827
Mailing Address1125 Oakview DrDilworth, MN 56529-1827
Phone(218) 477-7254
Fax(218) 477-7255
Organization SubpartNo
Authorized OfficialRichard AndersonManager · (218) 477-7254
Enumeration DateNovember 6, 2015
✔ NPI 1003289406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 372061
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1125 OAKVIEW DR, Dilworth, MN 56529
Open in Google Maps ↗

Other Names 1

Doing Business AsSerenity Assisted Living

Other Identifiers 2

OtherM183447400MN · Umpi
OtherM559433000MN · Umpi

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1062752

Serenity Assisted Living, Inc · Dilworth, MN
Active · expires Dec 21, 2026
CLIA Number24D1062752
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorElaine M. Anderson
Laboratory Phone(218) 477-7254
Laboratory LocationSerenity Assisted Living, Inc1125 Oakview Drive, Dilworth, MN 56529
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2163801

Serenity Assisted Living Center Inc · Dilworth, MN
Active · expires Mar 20, 2027
CLIA Number24D2163801
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorElaine M. Anderson
Laboratory Phone(218) 477-7254
Laboratory LocationSerenity Assisted Living Center Inc1251 3rd Ave NW, Dilworth, MN 56529
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2054762

Serenity Living Center Inc · Dilworth, MN
Active · expires Feb 26, 2027
CLIA Number24D2054762
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorElaine Anderson
Laboratory Phone(218) 477-7254
Laboratory LocationSerenity Living Center Inc1204 Oakview Drive, Dilworth, MN 56529
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Living Center's NPI number?

The NPI number for Serenity Living Center is 1003289406. It was assigned to this organization in the NPPES registry on November 6, 2015. The provider is doing business as Serenity Assisted Living.

Where is Serenity Living Center located?

Serenity Living Center is located at 1125 Oakview Dr, Dilworth, MN 56529. The listed phone number is (218) 477-7254.

What is Serenity Living Center's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Serenity Living Center hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Serenity Living Center was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.