Provider Demographics
NPI:1376423491
Name:SERENITY ASSISTED SENIOR LIVING
Entity type:Organization
Organization Name:SERENITY ASSISTED SENIOR LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MUNGOBWELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-399-7567
Mailing Address - Street 1:5028 ROSELD CT
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-2664
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5028 ROSELD CT
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-2664
Practice Address - Country:US
Practice Address - Phone:302-399-7567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility