Organization Active NPI

Serenity Lifestyle Plus LLC

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1730889494
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENITY LIFESTYLE PLUS LLC
Doing business as
SERENITY LIFESTYLE PLUS LLC
Practice address
482 Brighton Ave NE
Palm Bay, FL 32907-2023
Phone
(617) 438-2866
Fax
(321) 951-4070
NPI assigned
Mar 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Ms. Analisa DuncanNPI 1396136842
Title
Administrator
Phone
(617) 438-2866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

482 Brighton Ave NE
Palm Bay, FL 32907-2023

Mailing address

482 Brighton Ave NE
Palm Bay, FL 32907-2023
Phone (617) 438-2866

Other names 1

  • SERENITY LIFESTYLE PLUS LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1730889494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 BRIGHTON AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072023",
            "telephone_number": "617-438-2866",
            "fax_number": "321-951-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 BRIGHTON AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072023",
            "telephone_number": "617-438-2866",
            "fax_number": "321-951-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY LIFESTYLE PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ANALISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-438-2866",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERENITY LIFESTYLE PLUS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.