Organization Active NPI

Palm Beach Serenity Health Care, Inc

  • Nursing Care Agency
  • Palm Springs, FL
National Provider Identifier
1710765458
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
PALM BEACH SERENITY HEALTH CARE, INC
Practice address
3175 S Congress Ave Ste C101C
Palm Springs, FL 33461-2500
Phone
(561) 990-6896
NPI assigned
Sep 14, 2023
Last updated
Sep 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Mayvis Gallardo
Title
Owner
Phone
(561) 267-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU Primary

Addresses

Primary practice location

3175 S Congress Ave Ste C101C
Palm Springs, FL 33461-2500

Mailing address

3175 S Congress Ave Ste C101C
Palm Springs, FL 33461-2500
Phone (561) 990-6896

National Provider Directory

National Provider Directory

Locations

3175 S Congress Ave
Ste C101C
Palm Springs, FL 33461
Phone (561) 990-6896

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1710765458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 S CONGRESS AVE STE C101C",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612500",
            "telephone_number": "561-990-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 S CONGRESS AVE STE C101C",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612500",
            "telephone_number": "561-990-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH SERENITY HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "MAYVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-267-2511"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.