Provider Demographics
NPI:1083494306
Name:L & M SERENITY LLC
Entity Type:Organization
Organization Name:L & M SERENITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LEGASSE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:303-814-2688
Mailing Address - Street 1:6073 W 44TH AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4703
Mailing Address - Country:US
Mailing Address - Phone:303-814-2688
Mailing Address - Fax:
Practice Address - Street 1:11975 W 22ND PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-1111
Practice Address - Country:US
Practice Address - Phone:303-814-2688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility