Serenity Gardens Retirement Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERENITY GARDENS RETIREMENT HOME, INC.

Practice address

6200 Cleveland St
Hollywood, FL 33024-5914

Phone

(954) 983-5174

Fax

(954) 964-9892

NPI assigned

Aug 17, 2010

Organization subpart

No

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

Authorized official

Name

Miss Blossom Keaton

Title

Administrator/Owner

Phone

(954) 822-4829

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1285949040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 CLEVELAND ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245914",
            "telephone_number": "954-983-5174",
            "fax_number": "954-964-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 CLEVELAND ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245914",
            "telephone_number": "954-983-5174",
            "fax_number": "954-964-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY GARDENS RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "KEATON",
        "authorized_official_first_name": "BLOSSOM",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "954-822-4829",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001412200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Sered, M.D.
• Serene and Fearless Counseling Services LLC
• Serenity Bay Counseling Services, LLC
• Serenity Behavioral Health LLC
• Serenity Behavioral Health, LLC
• Serenity Shift Wellness Center Inc
• Serenity Springs Living Facilities, Inc (Sunny Days Assisted Living Facility)
• Krystina Serpa
• Sonia Maria Serpa
• Cynthia Serure, LCSW

• Assisted Living Facility in Hollywood, FL
• Providers in Hollywood, 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 Aug 17, 2010; 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.