Active NPI
Serenity Shore Assisted Living Facility LLC
- Long-Term Care Clinical Nurse Specialist
- Port St Lucie, FL
National Provider Identifier
1669395125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long-Term Care Clinical Nurse Specialist
- Legal business name
- SERENITY SHORE ASSISTED LIVING FACILITY LLC
- Practice address
- 9173 SW Esule Way
Port St Lucie, FL 34987-3406 - Phone
- (772) 722-5766
- NPI assigned
- Aug 3, 2026
- Last updated
- Aug 3, 2026
- 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
- Mrs. McAroline Robertson, NURE PRACTITIONER
- Title
- Aministrator/Owner
- Phone
- (772) 722-5766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long-Term Care Clinical Nurse Specialist | 364SL0600X | Primary |
Addresses
Primary practice location
9173 SW Esule Way
Port St Lucie, FL 34987-3406
Mailing address
9173 SW Esule Way
Port Saint Lucie, FL 34987-3406
Phone (772) 722-5766
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785715200000",
"number": "1669395125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9173 SW ESULE WAY",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349873406",
"telephone_number": "772-722-5766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9173 SW ESULE WAY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349873406",
"telephone_number": "772-722-5766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY SHORE ASSISTED LIVING FACILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-08-02",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "MCAROLINE",
"authorized_official_title_or_position": "AMINISTRATOR/OWNER",
"authorized_official_telephone_number": "772-722-5766",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NURE PRACTITIONER"
},
"taxonomies": [
{
"code": "364SL0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Long-Term Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.