Serenity Place Alf, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10937 Issued in FL

Legal business name

SERENITY PLACE ALF, INC.

Practice address

490 Brighton Ave NE
Palm Bay, FL 32907-2023

Phone

(321) 984-4446

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Bobsilyn Duncan

Title

Administrator

Phone

(321) 984-4446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1679772370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 BRIGHTON AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 BRIGHTON AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072023",
            "telephone_number": "321-984-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PLACE ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "BOBSILYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-984-4446"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serene Homelike Assisted Living, LLC
• Serenity Lifestyle Plus II
• Serenity Lifestyle Plus LLC
• Serenity Place Alf
• Serenity Place Alf II
• Delvin L Session
• Courtney Sevilla, DMD
• Ankur A Shah, R.PH
• Shangri-la Alf 868 LLC
• Shangri-la Alf, LLC

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.