SERENITY AVE. INTEGRATIVE SERVICES LLC
NPI 1255930491
Clinic/Center - Multi-Specialty in Southfield, MI

Active since October 20, 2020
17330 NORTHLAND PARK CT, SOUTHFIELD, MI 48075(248) 422-1333 Get Directions Write a Review

NPPES record last updated: October 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2020, Oct 21, 2020 (2 updates tracked since 2020).

About Serenity Ave. Integrative Services Llc NPPES

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

SERENITY AVE. INTEGRATIVE SERVICES LLC (NPI 1255930491) is a healthcare organization registered as a multi-specialty in Southfield, Michigan and active in the NPI registry since October 2020. The organization lists Karla Jordan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255930491
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSERENITY AVE. INTEGRATIVE SERVICES LLC
Location Address17330 NORTHLAND PARK CTSouthfield, MI 48075-4318
Mailing Address29494 Ashland Ave Apt 301Harrison Township, MI 48045-5742
Organization SubpartNo
Authorized OfficialKarla JordanCeo · (248) 422-1333
Enumeration DateOctober 20, 2020
Last NPPES UpdateOctober 31, 20202 updates tracked since enumeration
NPPES CertifiedOctober 31, 2020
NPI 1255930491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
17330 NORTHLAND PARK CT, Southfield, MI 48075

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Clinic/Center (Health Service)
17330 NORTHLAND PARK CT, STE 100
SOUTHFIELD, MI 48075
Nurse Practitioner (Primary Care)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Nurse Practitioner
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Social Worker (Clinical)
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075
Physical Medicine & Rehabilitation
17330 NORTHLAND PARK CT, 201
SOUTHFIELD, MI 48075
Clinical Nurse Specialist (Gerontology)
17330 NORTHLAND PARK CT, SUITE 100
SOUTHFIELD, MI 48075
Clinic/Center (Mental Health (Including Community Mental Health Center))
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075

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 Ave. Integrative Services LLC's NPI number?

The NPI number for Serenity Ave. Integrative Services LLC is 1255930491. It was assigned to this organization in the NPPES registry on October 20, 2020.

Where is Serenity Ave. Integrative Services LLC located?

Serenity Ave. Integrative Services LLC is located at 17330 Northland Park Ct, Southfield, MI 48075. The listed phone number is (248) 422-1333.

What is Serenity Ave. Integrative Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Serenity Ave. Integrative Services LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Serenity Ave. Integrative Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Serenity Ave. Integrative Services LLC was last updated on October 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.