Serenity Physician
Serenity Physician is a healthcare organization registered as Home Modifications Contractor in Dearborn, MI, holding Type 2 (organization) NPI 1861591687 since 2006. The authorized official on file is Nicole Simms, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1861591687 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Serenity Physician |
| Other name | <Unavail> |
| Practice address | 1009 DREXEL ST, Dearborn, MI, 48128 |
| Phone | 3134293164 |
| Fax | 3134293165 |
| Enumeration date | 2006-09-21 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Nicole Simms |
|---|---|
| Title | Manager |
| Phone | 3133205356 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 171WH0202X | Home Modifications Contractor | Primary | — | — |
Copy-ready billing details
Provider: Serenity Physician NPI: 1861591687 Taxonomy: 171WH0202X (Home Modifications Contractor) Address: 1009 DREXEL ST, Dearborn, MI, 48128
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1295758159 | Serenity Physicians | Organization | Health Maintenance Organization | Dearborn, MI |
| 1760699979 | Rita D Rogers | Organization | Ph.D. Medical Genetics | Dearborn, MI |
Verify this record
Cross-check NPI 1861591687 against the authoritative CMS record: view Serenity Physician on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Serenity Physician?
What is the NPI number for Serenity Physician?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.