Organization Active NPI

Serenity Stay Alf LLC

  • Assisted Living Facility (Mental Illness)
  • Miami, FL
National Provider Identifier
1083329064
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
SERENITY STAY ALF LLC
Practice address
9808 SW 147TH PL
Miami, FL 33196
Phone
(305) 380-6905
Fax
(305) 234-2437
NPI assigned
Jan 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Daniel Dominguez
Title
Owner
Phone
(786) 925-4634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

9808 SW 147TH PL
Miami, FL 33196

Mailing address

9808 SW 147TH PL
Miami, FL 33196
Phone (305) 380-6905

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL SERENITY.STAYALF@GMAIL.COM
CONNECT URL serenity.stayalf@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1083329064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 SW 147TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33196",
            "telephone_number": "305-380-6905",
            "fax_number": "305-234-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 SW 147TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33196",
            "telephone_number": "305-380-6905",
            "fax_number": "305-234-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY STAY ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2025-03-21",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-925-4634"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SERENITY.STAYALF@GMAIL.COM",
            "affiliation": "N",
            "address_1": "9808 SW 147th Pl",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331961622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "serenity.stayalf@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9808 SW 147th Pl",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331961622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

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