SERENITY SUPPORT SERVICES LLC
NPI 1033938675
Assisted Living Facility - Assisted Living, Mental Illness in Eagan, MN

Q: What is Serenity Support Services LLC's NPI number?

The NPI number for Serenity Support Services LLC is 1033938675. It was assigned to this organization in the NPPES registry on October 9, 2024.

Q: What is Serenity Support Services LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since October 09, 2024

4651 NICOLS RD STE 205, EAGAN, MN 55122(651) 239-8745 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2026, Oct 9, 2024 (2 updates tracked since 2024).

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About Serenity Support Services Llc NPPES

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

SERENITY SUPPORT SERVICES LLC (NPI 1033938675) is a healthcare organization registered as an assisted living, mental illness in Eagan, Minnesota and active in the NPI registry since October 2024. The organization lists Aeysha Nur, Owner, as its authorized official.

NPPES Registry Identity

NPI1033938675

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameSERENITY SUPPORT SERVICES LLC

Location Address4651 NICOLS RD STE 205Eagan, MN 55122-3424

Mailing Address4651 Nicols Rd Ste 205Eagan, MN 55122-3424 · (651) 239-8745

Phone(651) 239-8745

Organization SubpartNo

Authorized OfficialAeysha NurOwner · (651) 239-8745

Enumeration DateOctober 9, 2024

Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1033938675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

4651 NICOLS RD STE 205, Eagan, MN 55122

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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 Support Services LLC's NPI number?

The NPI number for Serenity Support Services LLC is 1033938675. It was assigned to this organization in the NPPES registry on October 9, 2024.

Where is Serenity Support Services LLC located?

Serenity Support Services LLC is located at 4651 Nicols Rd Ste 205, Eagan, MN 55122. The listed phone number is (651) 239-8745.

What is Serenity Support Services LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Serenity Support Services LLC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.