Serenity 2 LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

SERENITY 2 LLC

Practice address

149 Magnolia Ave
Sebring, FL 33870-3613

Phone

(917) 586-9756

Fax

(863) 658-1176

NPI assigned

Sep 18, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Shimon Kopershtock

Title

Administrator

Phone

(917) 586-9756

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1003788316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MAGNOLIA AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703613",
            "telephone_number": "917-586-9756",
            "fax_number": "863-658-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MAGNOLIA AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703613",
            "telephone_number": "917-586-9756",
            "fax_number": "863-658-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "KOPERSHTOCK",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "917-586-9756",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Hutto Selley, DO
• Carl-El Jonathan Alain Semerzier, DDS
• Cirilo M. Seralde Jr., MD
• Mercy L Seralde, M.D.
• Victor Medina Seralde, M.D.
• Lourdes Maria Serralta
• Tadserh Sjeator Serralta, D.C.
• Amit Indravadan Shah, M.D.
• Afsana Ansari Shaik, MD
• Shailesh Joshi MD PLLC

• Assisted Living Facility (Mental Illness) in Sebring, FL
• Providers in Sebring, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.