ST CROIX SERENITY HOME LLC
NPI 1295578151
Custodial Care Facility - Adult Care Home in Hudson, WI

Q: What is St Croix Serenity Home LLC's NPI number?

The NPI number for St Croix Serenity Home LLC is 1295578151. It was assigned to this organization in the NPPES registry on June 17, 2024.

Q: What is St Croix Serenity Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since June 17, 2024

519 8TH ST N # B, HUDSON, WI 54016(517) 505-0174 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St Croix Serenity Home Llc NPPES

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

ST CROIX SERENITY HOME LLC (NPI 1295578151) is a healthcare organization registered as an adult care home in Hudson, Wisconsin and active in the NPI registry since June 2024. The organization lists Mohamed A Mohamed, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295578151

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameST CROIX SERENITY HOME LLC

Location Address519 8TH ST N # BHudson, WI 54016-1140

Mailing Address519 8th St N # BHudson, WI 54016-1140 · (517) 505-0174

Phone(517) 505-0174

Organization SubpartNo

Authorized OfficialMohamed A MohamedCeo · (517) 505-0174

Enumeration DateJune 17, 2024

NPPES CertifiedJune 17, 2024

✔ NPI 1295578151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

519 8TH ST N # B, Hudson, WI 54016

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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 St Croix Serenity Home LLC's NPI number?

The NPI number for St Croix Serenity Home LLC is 1295578151. It was assigned to this organization in the NPPES registry on June 17, 2024.

Where is St Croix Serenity Home LLC located?

St Croix Serenity Home LLC is located at 519 8th St N # B, Hudson, WI 54016. The listed phone number is (517) 505-0174.

What is St Croix Serenity Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for St Croix Serenity Home LLC was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.