SERENITY SPACE LLC
NPI 1790465664
Community/Behavioral Health in St Anthony, MN

Active since July 24, 2023
2817 ANTHONY LN S STE 203, ST ANTHONY, MN 55418(612) 810-6216 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Serenity Space Llc NPPES

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

SERENITY SPACE LLC (NPI 1790465664) is a healthcare organization registered as a community/behavioral health in St Anthony, Minnesota and active in the NPI registry since July 2023. The organization lists Sacad M Guled, Owner, as its authorized official.

NPPES Registry Identity

NPI1790465664
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSERENITY SPACE LLC
Location Address2817 ANTHONY LN S STE 203St Anthony, MN 55418-2491
Mailing Address2817 Anthony Ln S Ste 203St Anthony, MN 55418-2491 · (612) 810-6216
Organization SubpartNo
Authorized OfficialSacad M GuledOwner · (612) 810-6216
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 24, 2023
NPI 1790465664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2817 ANTHONY LN S STE 203, St Anthony, MN 55418

Accepted Insurance

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 Space LLC's NPI number?

The NPI number for Serenity Space LLC is 1790465664. It was assigned to this organization in the NPPES registry on July 24, 2023.

Where is Serenity Space LLC located?

Serenity Space LLC is located at 2817 Anthony Ln S Ste 203, St Anthony, MN 55418. The listed phone number is (612) 810-6216.

What is Serenity Space LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Serenity Space LLC accept?

Health plans from HealthPartners list Serenity Space 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 Space LLC was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.