Serenity Place Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10937 Issued in FL

Legal business name

SERENITY PLACE ALF

Practice address

490 Brighton Ave NE
Palm Bay, FL 32907-2023

Phone

(321) 951-4070

Fax

(321) 725-6007

NPI assigned

Apr 1, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Bobsilyn Duncan

Title

Administrator

Phone

(321) 951-4070

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1104169804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 BRIGHTON AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072023",
            "telephone_number": "321-951-4070",
            "fax_number": "321-725-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 BRIGHTON AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072023",
            "telephone_number": "321-951-4070",
            "fax_number": "321-725-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PLACE ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "BOBSILYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-951-4070",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selfless Care LLC
• Senior Care Livingiv LLC
• Serene Homelike Assisted Living, LLC
• Serenity Lifestyle Plus II
• Serenity Lifestyle Plus LLC
• Serenity Place Alf II
• Serenity Place Alf, Inc.
• Delvin L Session
• Courtney Sevilla, DMD
• Ankur A Shah, R.PH

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.