Organization Active NPI

Serene Homelike Assisted Living, LLC

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1760249049
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENE HOMELIKE ASSISTED LIVING, LLC
Doing business as
Serene Homelike Assisted Living, LLC
Practice address
492 Aviation Ave NE
Palm Bay, FL 32907-1930
Phone
(980) 307-7224
NPI assigned
Mar 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Jose Prieto
Title
Administrator
Phone
(980) 307-7224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

492 Aviation Ave NE
Palm Bay, FL 32907-1930

Mailing address

492 Aviation Ave NE
Palm Bay, FL 32907-1930
Phone (980) 307-7224

Other names 1

  • Serene Homelike Assisted Living, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1760249049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 AVIATION AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071930",
            "telephone_number": "980-307-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 AVIATION AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071930",
            "telephone_number": "980-307-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HOMELIKE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-03",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "980-307-7224"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Homelike Assisted Living, 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 4, 2024; 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.