Organization Active NPI

Serenity Recovery Center at North Shore Medical Center

  • Substance Abuse Rehabilitation Facility
  • Miami, FL
National Provider Identifier
1477918787
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SERENITY RECOVERY CENTER AT NORTH SHORE MEDICAL CENTER
Practice address
1100 NW 95TH St Ste 2
Miami, FL 33150-2038
Phone
(783) 671-3267
NPI assigned
Dec 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Denise Melendez
Title
Office Manager
Phone
(783) 671-3267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X FL Primary

Addresses

Primary practice location

1100 NW 95TH St Ste 2
Miami, FL 33150-2038

Mailing address

PO Box 640890
Miami, FL 33164-0890

National Provider Directory

National Provider Directory
Tax ID family
Serenity Recovery Center at North Shore Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1100 NW 95th St
Ste 2
Miami, FL 33150
Phone (783) 671-3267

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1477918787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640890",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331640890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW 95TH ST STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502038",
            "telephone_number": "783-671-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY RECOVERY CENTER AT NORTH SHORE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "783-671-3267"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.