Latoya D Bradley

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

13973 Issued in FL

Practice address

1381 SE Mohave CT
Port Saint Lucie, FL 34952-4118

Phone

(786) 799-0803

NPI assigned

Nov 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Home of Serenity LLC

  • Assisted Living Facility
  • Port Saint Lucie, FL
  • NPI 1982420089
  NPD Authorized official

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1275359374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 SE MOHAVE CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524118",
            "telephone_number": "786-799-0803",
            "fax_number": "772-946-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 SE MOHAVE CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524118",
            "telephone_number": "786-799-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "LATOYA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-23",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "13973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Tai Bowen
• Paul Bower, M.D.
• Kayla Bowser, RD
• Mark A Bozzo, MASSAGE THERAPIST
• Wayne Alan Brack, LMT, NCMTB
• Katrina Noel Bragan, PA
• Heather Bragg
• Brain Training Center of the Treasure Coast
• Marsia Brana, LMT
• Theresa Brannigan

• Assisted Living Facility in Port Saint Lucie, FL
• Providers in Port Saint Lucie, 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 Sep 25, 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.