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SERENITY BLUE LLC
NPI 1174131783
Voluntary or Charitable in Harrisburg, PA

Active since July 20, 2020
2405 LINGLESTOWN RD STE 1, HARRISBURG, PA 17110(858) 245-8327 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 14, 2025, Dec 14, 2021, Nov 4, 2021 and 3 more (6 updates tracked since 2020).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Voluntary or Charitable

About SERENITY BLUE LLC

This page provides the complete NPI Profile along with additional information for Serenity Blue Llc, a provider established in Harrisburg, Pennsylvania operating as a Voluntary Or Charitable. The healthcare provider is registered in the NPI registry with number 1174131783 assigned on July 2020. The practitioner's primary taxonomy code is 251V00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is E M (Executive Director)

NPI
1174131783 Verify this NPI
Provider Name
SERENITY BLUE LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
2405 LINGLESTOWN RD STE 1 HARRISBURG, PA 17110
Location Phone
(858) 245-8327
Mailing Address
2232 CHATHAM WAY HARRISBURG, PA 17110
Mailing Phone
(858) 245-8327
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2020
Last Update Date
03-14-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Voluntary or Charitable

Taxonomy Code
251V00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

E M

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(717) 914-4105

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Frequently Asked Questions

What is SERENITY BLUE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1174131783, enumerated as an "organization" on July 20, 2020.

Where is the provider located?

The provider is located at 2405 LINGLESTOWN RD STE 1 HARRISBURG, PA 17110 and the phone number is (858) 245-8327.

What is the provider's specialty?

Voluntary or Charitable with taxonomy code 251V00000X.