Serenity Home Care of Broward LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

30211906 Issued in FL

Legal business name

SERENITY HOME CARE OF BROWARD LLC

Practice address

2800 W Oakland Park Blvd
Suite 310E
Oakland Park, FL 33311-1370

Phone

(954) 900-1404

NPI assigned

Apr 22, 2017

Organization subpart

No

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

Authorized official

Name

Mark Benzaquen

Title

Administrator

Phone

(305) 965-2666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492819200000",
    "number": "1104351600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W OAKLAND PARK BLVD",
            "address_2": "SUITE 310E",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W OAKLAND PARK BLVD",
            "address_2": "SUITE 310E",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111370",
            "telephone_number": "954-900-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE OF BROWARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-22",
        "last_updated": "2017-04-22",
        "status": "A",
        "authorized_official_last_name": "BENZAQUEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-965-2666"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30211906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell S Seavey, MD
• Diana Zulema Seguro, DMD
• Julie Seide, CASE MANAGER
• Robert Seiler
• Senior Medical Associates LLC
• Colby Serpa
• Anjali Kala Shahi, MD
• Jeffrey Joseph Shapiro, R.K.T.
• Medha Sharma, M.D.
• Creshun T Sheely, RESPIRATORY

• In Home Supportive Care Agency in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; 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.