MI SERENITY
NPI 1164603072
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Rolla, MO

Q: What is Mi Serenity's NPI number?

The NPI number for Mi Serenity is 1164603072. It was assigned to this organization in the NPPES registry on November 19, 2007.

Q: What is Mi Serenity's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Mi Serenity was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 19, 2007

11840 PRIVATE DRIVE 5136, ROLLA, MO 65401(573) 368-4899 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mi Serenity NPPES

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

MI SERENITY (NPI 1164603072) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Rolla, Missouri and active in the NPI registry since November 2007. The organization lists Teddy Eugene Ruth, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164603072

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameMI SERENITY

Location Address11840 PRIVATE DRIVE 5136Rolla, MO 65401-5909

Mailing Address11840 Private Drive 5136Rolla, MO 65401-5909 · (573) 368-4899

Phone(573) 368-4899

Organization SubpartNo

Authorized OfficialTeddy Eugene RuthCeo · (573) 368-4899

Enumeration DateNovember 19, 2007

✔ NPI 1164603072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

11840 PRIVATE DRIVE 5136, Rolla, MO 65401

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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 Mi Serenity's NPI number?

The NPI number for Mi Serenity is 1164603072. It was assigned to this organization in the NPPES registry on November 19, 2007.

Where is Mi Serenity located?

Mi Serenity is located at 11840 Private Drive 5136, Rolla, MO 65401. The listed phone number is (573) 368-4899.

What is Mi Serenity's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Mi Serenity was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.