NPIMap

Organization Active NPI

Serendipity Healthy Living Community, LLC

  • Clinic/Center
  • Florala, AL
National Provider Identifier
1346663499
Registry record updated Jan 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SERENDIPITY HEALTHY LIVING COMMUNITY, LLC
Practice address
24273 5TH Ave
Florala, AL 36442-3523
Phone
(334) 858-3287
Fax
(334) 574-9508
NPI assigned
Jan 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2014

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

Authorized official

Name
Gabriela Engels
Title
Owner
Phone
(754) 234-3177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

24273 5TH Ave
Florala, AL 36442-3523

Mailing address

582 5TH St
Florala, AL 36442-3208
Phone (334) 858-3287

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390694400000",
    "number": "1346663499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 5TH ST",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364423208",
            "telephone_number": "334-858-3287",
            "fax_number": "334-574-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24273 5TH AVE",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364423523",
            "telephone_number": "334-858-3287",
            "fax_number": "334-574-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITY HEALTHY LIVING COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-26",
        "last_updated": "2014-01-26",
        "status": "A",
        "authorized_official_last_name": "ENGELS",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-234-3177"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florala, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.