Organization Active NPI

Serenity Success Center, Inc

  • Case Management Agency
  • Lauderdale Lakes, FL
National Provider Identifier
1669866406
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Mar 18, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.