SERENITY PHYSICIAN
NPI 1861591687
Contractor - Home Modifications in Dearborn, MI

Active since September 21, 2006
1009 DREXEL ST, DEARBORN, MI 48128(313) 429-3164(313) 429-3165 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Serenity Physician NPPES

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

SERENITY PHYSICIAN (NPI 1861591687) is a healthcare organization registered as a home modifications in Dearborn, Michigan and active in the NPI registry since September 2006. The organization lists Nicole Simms, Manager, as its authorized official.

NPPES Registry Identity

NPI1861591687
Entity TypeOrganization
Primary Taxonomy171WH0202X
Legal Business NameSERENITY PHYSICIAN
Location Address1009 DREXEL STDearborn, MI 48128-1639
Mailing Address1009 Drexel StDearborn, MI 48128-1639 · (313) 429-3164 · Fax (313) 429-3165
Fax(313) 429-3165
Organization SubpartNo
Authorized OfficialNicole SimmsManager · (313) 320-5356
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1861591687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractor · Home ModificationsOther Service Providers
Taxonomy Code171WH0202X
Definition

A contractor who makes modifications to homes to accommodate a health condition.

1009 DREXEL ST, Dearborn, MI 48128

Other Names 1

Doing Business AsSerenity Physician

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Health Maintenance Organization
1009 DREXEL ST
DEARBORN, MI 48128
Medical Genetics, Ph.D. Medical Genetics
1009 DREXEL ST
DEARBORN, MI 48128

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 Physician's NPI number?

The NPI number for Serenity Physician is 1861591687. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Serenity Physician located?

Serenity Physician is located at 1009 Drexel St, Dearborn, MI 48128. The listed phone number is (313) 429-3164.

What is Serenity Physician's specialty?

The primary specialty registered for this NPI is Contractor, specializing in Home Modifications, with taxonomy code 171WH0202X.

When was this NPI record last updated?

The NPPES record for Serenity Physician was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.