Serenity Assisted Living Facility LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9407 Issued in FL

Legal business name

SERENITY ASSISTED LIVING FACILITY LLC

Practice address

15322 Matis Rd
Hudson, FL 34669-1023

Phone

(727) 862-3908

Fax

(727) 863-5270

NPI assigned

Jul 24, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Nicola E Matthews

Title

Administrator

Phone

(727) 862-3908

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1336557180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15322 MATIS RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346691023",
            "telephone_number": "727-862-3908",
            "fax_number": "727-863-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15322 MATIS RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346691023",
            "telephone_number": "727-862-3908",
            "fax_number": "727-863-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-862-3908",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamberly Hope Segert, BCBA
• Lawrence A Seigel, M.D.
• Sauldia Senat I
• Senior Homecare Options
• Sensible Psychiatric Solutions
• Ananya Seth
• Lahkim H Shabazz, COTA/L
• Elly Shaff, PA-C
• Feni Hitesh Shah, MD
• Mili Hitesh Shah, MD

• Assisted Living Facility in Hudson, FL
• Providers in Hudson, 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 Jul 24, 2014; 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.