Serenity Community Mental Healthcare, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SERENITY COMMUNITY MENTAL HEALTHCARE, LLC

Practice address

10300 SW 72ND St Ste 250
Miami, FL 33173-3014

Phone

(786) 205-4515

NPI assigned

Aug 5, 2020

Organization subpart

No

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

Authorized official

Name

Kleydson Neves Da Silva

Title

MGR

Phone

(786) 205-4515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1740890607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9923 SW 147TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961634",
            "telephone_number": "786-205-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 250",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733014",
            "telephone_number": "786-205-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COMMUNITY MENTAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "NEVES DA SILVA",
        "authorized_official_first_name": "KLEYDSON",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "786-205-4515"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Serenity Medical Services Corp

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.