Serenity Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH-5158 Issued in AZ

Legal business name

SERENITY ASSISTED LIVING

Practice address

3677 Blue Colt Dr
Lake Havasu City, AZ 86406-4273

Phone

(928) 505-3908

Fax

(928) 505-3908

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Laurie Evelyn Buggia

Title

Owner/Manager

Phone

(928) 505-3908

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1093975310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3677 BLUE COLT DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864064273",
            "telephone_number": "928-505-3908",
            "fax_number": "928-505-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 BLUE COLT DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864064273",
            "telephone_number": "928-505-3908",
            "fax_number": "928-505-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "BUGGIA",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "928-505-3908",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-5158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.