Organization Active NPI

Shoreside Serenity

  • Assisted Living Facility
  • Tamarac, FL
National Provider Identifier
1134090574
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHORESIDE SERENITY
Practice address
8708 NW 57TH Dr
Tamarac, FL 33321-4402
Phone
(908) 240-9207
NPI assigned
Sep 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Mrs. Mindy S Washington, BSBA
Title
Owner/Administrator
Phone
(908) 340-9207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8708 NW 57TH Dr
Tamarac, FL 33321-4402

Mailing address

8708 NW 57TH Dr
Tamarac, FL 33321-4402
Phone (908) 240-9207

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1134090574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 NW 57TH DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214402",
            "telephone_number": "908-240-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 NW 57TH DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214402",
            "telephone_number": "908-240-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORESIDE SERENITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "908-340-9207",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.