NPI 1144011883

Serenity Homes LLC

Organisation Custodial Care Facility South Milwaukee, WI

Practice location

Address: 805 Michigan Ave # 53172, South Milwaukee, WI 53172-2646
Phone: (414) 791-6045
Mailing address: 5066 S 14th St, Milwaukee, WI 53221-3536

Authorised official

Name: Abdullahi Mohamed
Title: Owner
Phone: (414) 791-6045

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

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Registry record

NPI: 1144011883
Entity type: Organization
NPI issued: 13 May 2025
Record last updated: 13 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.