Organization Active NPI

Serenity Medical Equipment, Inc

  • Durable Medical Equipment & Medical Supplies
  • Deerfield Beach, FL
National Provider Identifier
1073083499
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SERENITY MEDICAL EQUIPMENT, INC
Practice address
390A SW 12TH Ave
Suite a
Deerfield Beach, FL 33442-3106
Phone
(954) 650-4610
NPI assigned
Nov 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Ms. Ralph Amato
Title
Ceo
Phone
(954) 650-4610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

390A SW 12TH Ave
Suite a
Deerfield Beach, FL 33442-3106

Mailing address

390 SW 12TH Ave Ste a
Deerfield Beach, FL 33442-3106

National Provider Directory

National Provider Directory

Locations

390 SW 12th Ave
Ste A
Deerfield Beach, FL 33442
Phone (954) 650-4610

390 SW 12th Ave
#A
Deerfield Beach, FL 33442

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1073083499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 SW 12TH AVE STE A",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423106",
            "fax_number": "818-530-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390A SW 12TH AVE",
            "address_2": "SUITE A",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423106",
            "telephone_number": "954-650-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "AMATO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-650-4610",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.