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SERENITY HAVEN GROUP HOME LCC
NPI 1609740760
Assisted Living Facility in Bloomington, MN

Active since October 01, 2025
2400 IVY LN, BLOOMINGTON, MN 55431(763) 567-2015 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Serenity Haven Group Home Lcc NPPES

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

SERENITY HAVEN GROUP HOME LCC (NPI 1609740760) is a healthcare organization registered as an assisted living facility in Bloomington, Minnesota and active in the NPI registry since October 2025. The organization lists Abdiqani Sharif, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1609740760
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSERENITY HAVEN GROUP HOME LCC
Location Address2400 IVY LNBloomington, MN 55431-2830
Mailing Address20074 67th AveCorcoran, MN 55340-1018 · (503) 980-5325
Phone(763) 567-2015
Organization SubpartNo
Authorized OfficialAbdiqani SharifOwner/director · (503) 980-5325
Enumeration DateOctober 1, 2025
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1609740760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2400 IVY LN, Bloomington, MN 55431
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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 Haven Group Home Lcc's NPI number?

The NPI number for Serenity Haven Group Home Lcc is 1609740760. It was assigned to this organization in the NPPES registry on October 1, 2025.

Where is Serenity Haven Group Home Lcc located?

Serenity Haven Group Home Lcc is located at 2400 Ivy Ln, Bloomington, MN 55431. The listed phone number is (763) 567-2015.

What is Serenity Haven Group Home Lcc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Serenity Haven Group Home Lcc was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.