Mountain Serenity, Inc.

LBN: Mountain Serenity, Inc.
Mountain Serenity, Inc. is an health care organization with primary practice located at 490 Williams Branch Rd , Hazard KY 41701-7055. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care. Agencies / Case Management is the primary health care specialty. Mountain Serenity, Inc. can be contacted via phone (606) 378-2215, or through Grigsby, James Lyndon via phone (606) 378-2215.

Contact Information

Primary practice address
490 Williams Branch Rd Hazard KY 41701-7055
Phone: (606) 378-2215
Fax: (606) 378-2223
Website:
Map and Directions
Authorized official contact:
Name: Grigsby, James Lyndon
Phone: (606) 378-2215

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 33000803 Kentucky
Agencies / Day Training, Developmentally Disabled Services 251C00000X 33000803 Kentucky
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 33000803 Kentucky
Respite Care Facility / Respite Care 385H00000X 33000803 Kentucky

Profile Details

NPI number 1235174335
LBN Legal business name Mountain Serenity, Inc.
DBA Doing business as
Authorized official Grigsby, James Lyndon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1235174335 NPPES
Kentucky MEDICAID 33000803

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