Colony Shiny Serenity LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

7250 Issued in FL

Legal business name

COLONY SHINY SERENITY LLC

Practice address

3799 N Pine Island Rd
Sunrise, FL 33351-6528

Phone

(954) 748-0809

NPI assigned

Jan 18, 2015

Organization subpart

No

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

Authorized official

Name

Lonnie Steckler

Title

Financial Officer

Phone

(954) 748-0509

Specialties & licenses 1

Addresses

Other names 1

• The Colony Club ALF Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1421539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421539200000",
    "number": "1255720942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3799 N PINE ISLAND RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516528",
            "telephone_number": "954-748-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3799 N PINE ISLAND RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516528",
            "telephone_number": "954-748-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONY SHINY SERENITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-18",
        "last_updated": "2015-01-18",
        "status": "A",
        "authorized_official_last_name": "STECKLER",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "954-748-0509"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Colony Club ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edita Eligia Collazo
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• Amin Colominas
• Cristina A Colon, PHARMD
• Joshua Colon
• Comfort Care at Its Best Inc
• Comfort Medical Group, LLC
• Comfortable Care Denta Health Professionals, PA
• Communication Wellness LLC
• Community Access Service

• Assisted Living Facility in Sunrise, FL
• Providers in Sunrise, 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 Jan 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.