Organization Active NPI

Serenity at Monet Assisted Living Facility

  • Assisted Living Facility
  • Palm Beach Gardens, FL
National Provider Identifier
1477840189
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11665 Issued in FL
Legal business name
SERENITY AT MONET ASSISTED LIVING FACILITY
Practice address
11191 Monet Woods Rd
Palm Beach Gardens, FL 33410-3215
Phone
(561) 622-4940
Fax
(561) 622-4940
NPI assigned
Jul 1, 2011
Last updated
Jul 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Phyllis Bradshaw
Title
Owner/Administrator
Phone
(561) 622-4940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11665 FL Primary

Addresses

Primary practice location

11191 Monet Woods Rd
Palm Beach Gardens, FL 33410-3215

Mailing address

11191 Monet Woods Rd
Palm Beach Gardens, FL 33410-3215
Phone (561) 622-4940

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1477840189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11191 MONET WOODS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103215",
            "telephone_number": "561-622-4940",
            "fax_number": "561-622-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11191 MONET WOODS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103215",
            "telephone_number": "561-622-4940",
            "fax_number": "561-622-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY AT MONET ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "561-622-4940"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.