A Serene Life Llc

LBN: A Serene Life Llc
A Serene Life Llc is an health care organization with primary practice located at 100 Lionheart Ln , West Deptford NJ 08086-2253. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. A Serene Life Llc can be contacted via phone (856) 392-1123, or through Willis, Ashley via phone (856) 392-1123.

Contact Information

Primary practice address
100 Lionheart Ln West Deptford NJ 08086-2253
Phone: (856) 392-1123
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Willis, Ashley
Phone: (856) 392-1123

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1982373932
LBN Legal business name A Serene Life Llc
DBA Doing business as
Authorized official Willis, Ashley
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2021
Last updated Oct 31st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982373932 NPPES
New Jersey MEDICAID 0450615722

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