OrganizationActive
Serenity Physician
NPI 1861591687 · Home Modifications Contractor · Dearborn, MI
Serenity Physician is a Home Modifications Contractor organization in Dearborn, MI (NPI 1861591687).
Provider details
- NPI number
- 1861591687
- Entity type
- Organization
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Nicole Simms, Manager(313) 320-5356
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
1009 Drexel St
Dearborn, MI 48128-1639
Phone: (313) 429-3164
Fax: (313) 429-3165
Street-level locationGet directions
Mailing address
1009 Drexel St
Dearborn, MI 48128-1639
Other names (DBA / former)
- Doing business as
- Serenity Physician
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2020-08-22
Frequently asked questions
- What is Serenity Physician's NPI number?
- Serenity Physician's National Provider Identifier (NPI) is 1861591687, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Serenity Physician?
- Serenity Physician is classified in the NPPES registry as Home Modifications Contractor (Other Service Providers).
- Where is Serenity Physician located?
- Serenity Physician's practice location on file with NPPES is 1009 Drexel St, Dearborn, MI 48128-1639.
- What is Serenity Physician's phone number?
- The practice phone number listed in the NPPES registry for Serenity Physician is (313) 429-3164.
- Who is the authorized official for Serenity Physician?
- The authorized official listed on Serenity Physician's NPPES record is Nicole Simms, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Serenity Physician's NPI active?
- Yes — Serenity Physician's NPI (1861591687) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.