Organization Active NPI

Serenity Behavioral Health Services LLC

Doing business as Serenity Health Newtwork

  • Primary Care Clinic/Center
  • Homestead, FL
National Provider Identifier
1336808823
Registry record updated Dec 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SERENITY BEHAVIORAL HEALTH SERVICES LLC
Doing business as
Serenity Health Newtwork
Practice address
100 NE 15TH St Ste 103B
Homestead, FL 33030-4564
Phone
(786) 601-9007
Fax
(786) 272-0463
NPI assigned
Dec 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2021

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

Authorized official

Name
Mrs. Tocovia C Whipple
Title
Owner
Phone
(786) 601-9007

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Primary Care Clinic/Center 261QP2300X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

100 NE 15TH St Ste 103B
Homestead, FL 33030-4564

Mailing address

100 NE 15TH St Ste 103B
Homestead, FL 33030-4564
Phone (786) 601-9007

Other names 1

  • SERENITY HEALTH NEWTWORK Doing business as

National Provider Directory

National Provider Directory

Locations

100 NE 15th St
Ste 103B
Homestead, FL 33030
Phone (786) 508-3181

NPI Registry JSON

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

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639180800000",
    "number": "1336808823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE 15TH ST STE 103B",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304564",
            "telephone_number": "786-601-9007",
            "fax_number": "786-272-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE 15TH ST STE 103B",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304564",
            "telephone_number": "786-601-9007",
            "fax_number": "786-272-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-11",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "TOCOVIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-601-9007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERENITY HEALTH NEWTWORK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; 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.