Healthcare Provider Details

I. General information

NPI: 1609761808
Provider Name (Legal Business Name): SERENEAID LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8456 N 51ST ST
BROWN DEER WI
53223-3002
US

IV. Provider business mailing address

8456 N 51ST ST
BROWN DEER WI
53223-3002
US

V. Phone/Fax

Practice location:
  • Phone: 414-870-4925
  • Fax:
Mailing address:
  • Phone: 414-870-4925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: KELLIE DOSSOU HOUEGBE
Title or Position: OWNER
Credential:
Phone: 414-870-4925