Serenity Adult Family Care Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906686 Issued in FL

Legal business name

SERENITY ADULT FAMILY CARE HOME LLC

Practice address

748 Mellowood Ave
Orlando, FL 32825-8077

Phone

(407) 219-4283

NPI assigned

Jul 19, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Marcia MillerNPI 1306234075

Title

Owner/Administrator

Phone

(407) 219-4283

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marcia Miller

  • Home Health Aide
  • Orlando, FL
  • NPI 1306234075
  NPD (past) Authorized official

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

{
    "created_epoch": "1405728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405728000000",
    "number": "1790192979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MELLOWOOD AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258077",
            "telephone_number": "407-219-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MELLOWOOD AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258077",
            "telephone_number": "407-219-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ADULT FAMILY CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-19",
        "last_updated": "2014-07-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "407-219-4283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Serafin, M.D.
• Samuel Serag, M.D.
• Fatma Serageldin, DMD
• Serene Dental and Orthodontics of Orlando
• Serene Transformation Center LLC
• Serenity Health & Consulting
• Serenity Health Spa, LLC
• Serenity Home Care & Services
• Serenity Homemaker and Companion Services LLC
• Serenity Minded Solutions LLC

• Adult Care Home Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2014; 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.