Viv Serenity Haven LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

VIV SERENITY HAVEN LLC

Practice address

75111 Nassau Station Way
Yulee, FL 32097-3862

Phone

(347) 888-8623

NPI assigned

May 11, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Vivette Malcolm, RN

Title

Owner/Administrator

Phone

(347) 888-8623

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.

• Vivette Marva Griffiths

  • Family Nurse Practitioner
  • Far Rockaway, NY
  • NPI 1316569965
  NPD

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1821926767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 SW INWOOD AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844917",
            "telephone_number": "347-888-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75111 NASSAU STATION WAY",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973862",
            "telephone_number": "347-888-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIV SERENITY HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "VIVETTE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "347-888-8623",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey A Vennard, LCSW
• Hewston Vereen, RPH
• Emily Arlene Via, D.P.M.
• Victorious Learning, LLC
• Tayler Vincent, OTD, OTR/L
• Richard Everett Vowles IV, PMHNP-BC
• Veronika Roza Vozniak, APRN
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Brittany Love Walker

• Adult Care Home Facility in Yulee, FL
• Providers in Yulee, 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 May 11, 2026; 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.