Serenity Companion Service, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

231201 Issued in FL

Legal business name

SERENITY COMPANION SERVICE, INC.

Practice address

116 S Magnolia Ave
Suite 3D
Ocala, FL 34471-1178

Phone

(352) 348-3509

Fax

(180) 037-2701

NPI assigned

Jun 10, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Lavette GulleyNPI 1336451848

Title

Owner

Phone

(352) 348-3509

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lavette Denise Gulley

  • Nurse's Aide
  • Ocala, FL
  • NPI 1336451848

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1013366939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FIR TRAIL CRSE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344724220",
            "telephone_number": "352-348-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S MAGNOLIA AVE",
            "address_2": "SUITE 3D",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711178",
            "telephone_number": "352-348-3509",
            "fax_number": "180-037-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COMPANION SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "GULLEY",
        "authorized_official_first_name": "LAVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-348-3509",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "231201",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "231201",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "231201",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "231201",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "FL",
            "license": "231201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000565902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Serenelle Living Limited Liability Company
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• Dolores Serrano-Pina, LCSW
• Karina Serrano, DDS
• Lydia M. Serrano, LMT

• Community/Behavioral Health Agency in Ocala, FL
• Providers in Ocala, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.