Organization Active NPI

Serenity House Detox Palm Beach, LLC

  • Substance Abuse Rehabilitation Facility
  • West Palm Beach, FL
National Provider Identifier
1750824611
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SERENITY HOUSE DETOX PALM BEACH, LLC
Practice address
7357 Wilson Rd
West Palm Beach, FL 33413-2240
Phone
(561) 475-2180
NPI assigned
Nov 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Erica Shapiro
Title
Ceo
Phone
(305) 761-7318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X FL Primary

Addresses

Primary practice location

7357 Wilson Rd
West Palm Beach, FL 33413-2240

Mailing address

PO Box 2070
Hallandale, FL 33008-2070

National Provider Directory

National Provider Directory
Tax ID family
Serenity House Detox Palm Beach LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1750824611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "330082070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7357 WILSON RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334132240",
            "telephone_number": "561-475-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOUSE DETOX PALM BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-761-7318"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.