Serenity Home of Tampa Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12218 Issued in FL

Legal business name

SERENITY HOME OF TAMPA ALF LLC

Practice address

6013 Cresthill Drive
Tampa, FL 33615

Phone

(813) 884-7195

Fax

(813) 884-7195

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Guillermo Toledo

Title

Owner

Phone

(813) 884-7195

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1336497080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 CRESTHILL DRIVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33615",
            "telephone_number": "813-884-7195",
            "fax_number": "813-884-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6013 CRESTHILL DRIVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33615",
            "telephone_number": "813-884-7195",
            "fax_number": "813-884-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME OF TAMPA ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-884-7195",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serene Mind Psychology
• Serenity & Therapy, LLC
• Serenity Community Care Inc.
• Serenity Community Care Inc.
• Serenity Community Mental Health Center, LLC
• Serenity Life Adult Day Care Center Inc
• Serenity Medical Group LLC
• Serenity Mental Health Specialists LLC
• Serenity Shore Wellness LLC
• Serenity Suites LLC

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, 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 28, 2012; 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.