Active NPI
Serenity at Monet Assisted Living Facility
- Assisted Living Facility
- Palm Beach Gardens, FL
National Provider Identifier
1477840189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL11665
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.