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SERENITY GROUP HOME LLC
NPI 1659164465
Custodial Care Facility - Adult Care Home in De Pere, WI

Active since May 24, 2025
1317 CROWN CT, DE PERE, WI 54115(614) 897-6035 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Serenity Group Home Llc NPPES

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

SERENITY GROUP HOME LLC (NPI 1659164465) is a healthcare organization registered as an adult care home in De Pere, Wisconsin and active in the NPI registry since May 2025. The organization lists Khadra S Hirsi, Owner, as its authorized official.

NPPES Registry Identity

NPI1659164465
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSERENITY GROUP HOME LLC
Location Address1317 CROWN CTDe Pere, WI 54115-3815
Mailing Address1317 Crown CtDe Pere, WI 54115-3815 · (614) 897-6035 · Fax (920) 433-6709
Phone(614) 897-6035
Organization SubpartNo
Authorized OfficialKhadra S HirsiOwner · (614) 897-6035
Enumeration DateMay 24, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1659164465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
1317 CROWN CT, De Pere, WI 54115
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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 Group Home LLC's NPI number?

The NPI number for Serenity Group Home LLC is 1659164465. It was assigned to this organization in the NPPES registry on May 24, 2025.

Where is Serenity Group Home LLC located?

Serenity Group Home LLC is located at 1317 Crown Ct, De Pere, WI 54115. The listed phone number is (614) 897-6035.

What is Serenity Group 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 Serenity Group Home LLC was last updated on May 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.