Active NPI
Serenity Success Center, Inc
- Case Management Agency
- Lauderdale Lakes, FL
National Provider Identifier
1669866406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- SERENITY SUCCESS CENTER, INC
- Practice address
- 4000 N State Road 7
Suite 409-4
Lauderdale Lakes, FL 33319-4804 - Phone
- (954) 980-8241
- NPI assigned
- Mar 18, 2015
- 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
- Mr. Rohan Smith, MSW
- Title
- Ceo
- Phone
- (954) 980-8241
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
4000 N State Road 7
Suite 409-4
Lauderdale Lakes, FL 33319-4804
Mailing address
4000 N State Road 7
Suite 409-4
Lauderdale Lakes, FL 33319-4804
Phone (954) 980-8241
National Provider Directory
National Provider DirectoryLocations
4000 N State Road 7
Ste 4094
Lauderdale Lakes, FL 33319
Phone (954) 980-8241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426636800000",
"number": "1669866406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 N STATE ROAD 7",
"address_2": "SUITE 409-4",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333194804",
"telephone_number": "954-980-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 N STATE ROAD 7",
"address_2": "SUITE 409-4",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333194804",
"telephone_number": "954-980-8241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY SUCCESS CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-18",
"last_updated": "2015-03-18",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ROHAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-980-8241",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.