Serenity Years LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

SERENITY YEARS LLC

Practice address

1239 Myrtle St
Orlando, FL 32807-3515

Phone

(407) 968-7158

NPI assigned

Apr 1, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Sugey G LibradoNPI 1285122952

Title

Administrator

Phone

(407) 968-7158

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sugey G. Librado

  • Attendant Care Provider
  • Orlando, FL
  • NPI 1285122952
  NPD (past) Authorized official

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1265994289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 MYRTLE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073515",
            "telephone_number": "407-968-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 MYRTLE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073515",
            "telephone_number": "407-968-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY YEARS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "LIBRADO",
        "authorized_official_first_name": "SUGEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-968-7158",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102176000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Place Family Care Group Home
• Serenity Place Independent Living Center, LLC
• Serenity Therapeutic Massage
• Serenity Villa Alf LLC
• Serenity Women'S Health and Wellness LLC
• Serenity'S Diabetic Primary Care
• Sergio W. Larach, M.D., PA
• Liubov Serifoglu
• Carmen Serio, LMT, NCTMB
• Christopher Anthony Serle, MD

• Assisted Living Facility (Mental Illness) in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.