Serenity Way Assisted Living

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL11713 Issued in FL

Legal business name

SERENITY WAY ASSISTED LIVING

Practice address

1120 48TH St
West Palm Beach, FL 33407-2302

Phone

(561) 629-7450

Fax

(561) 629-7452

NPI assigned

May 5, 2011

Organization subpart

No

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

Authorized official

Name

Anthony Poitier Sr.

Title

Administrator

Phone

(561) 629-7450

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1073805362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 48TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072302",
            "telephone_number": "561-629-7450",
            "fax_number": "561-629-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 48TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072302",
            "telephone_number": "561-629-7450",
            "fax_number": "561-629-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY WAY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "POITIER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-629-7450",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL11713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001708200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Hills Medical & Wellness Center LLC
• Serenity Hills Medical and Wellness Center
• Serenity House Detox Palm Beach, LLC
• Serenity Now CMHC, Inc
• Serenity Now CMHC, Inc.
• Joan T Serkin, ARNP
• Sermac Medical & Psych Care, Inc.
• Claudia Irene Serna
• Lourdes Serra, O.T.R./L
• Djamila Serradet

• Assisted Living Facility (Mental Illness) in West Palm Beach, FL
• Providers in West Palm Beach, 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 May 5, 2011; 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.