Organization Active NPI

Serenity Shore Assisted Living Facility LLC

  • Long-Term Care Clinical Nurse Specialist
  • Port St Lucie, FL
National Provider Identifier
1669395125
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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)CodeLicenseStatePrimary
Long-Term Care Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.