Serenity Haven Group Home Lcc
NPI 1609740760 · Assisted Living Facility · Bloomington, MN
Serenity Haven Group Home Lcc is a Assisted Living Facility organization in Bloomington, MN (NPI 1609740760).
Provider details
- NPI number
- 1609740760
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Abdiqani Sharif, Owner/Director(503) 980-5325
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-01
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Frequently asked questions
- What is Serenity Haven Group Home Lcc's NPI number?
- Serenity Haven Group Home Lcc's National Provider Identifier (NPI) is 1609740760, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Serenity Haven Group Home Lcc?
- Serenity Haven Group Home Lcc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Serenity Haven Group Home Lcc located?
- Serenity Haven Group Home Lcc's practice location on file with NPPES is 2400 Ivy Ln, Bloomington, MN 55431-2830.
- What is Serenity Haven Group Home Lcc's phone number?
- The practice phone number listed in the NPPES registry for Serenity Haven Group Home Lcc is (763) 567-2015.
- Who is the authorized official for Serenity Haven Group Home Lcc?
- The authorized official listed on Serenity Haven Group Home Lcc's NPPES record is Abdiqani Sharif, Owner/Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Serenity Haven Group Home Lcc's NPI active?
- Yes — Serenity Haven Group Home Lcc's NPI (1609740760) is active in the NPPES registry as of the last update on 2025-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.