Organization Active NPI

Century Oaks Serenity, LLC

  • Assisted Living Facility
  • Melbourne, FL
National Provider Identifier
1699219345
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10095 Issued in FL
Legal business name
CENTURY OAKS SERENITY, LLC
Practice address
4001 Stack Blvd
Melbourne, FL 32901-8500
Phone
(321) 722-4440
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Lon Steckler
Title
Executive Director
Phone
(954) 748-0509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10095 FL Primary

Addresses

Primary practice location

4001 Stack Blvd
Melbourne, FL 32901-8500

Mailing address

4001 Stack Blvd
Melbourne, FL 32901-8500
Phone (321) 722-4440

Other names 1

  • Century Oaks ALF Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2197229Century Oaks4001 Stack Blvd, Melbourne, FL 32901Certificate of waiverOct 21, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1699219345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 STACK BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018500",
            "telephone_number": "321-722-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 STACK BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018500",
            "telephone_number": "321-722-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY OAKS SERENITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "STECKLER",
        "authorized_official_first_name": "LON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-748-0509"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century Oaks ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.