Serenity Adult Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

3014380 Issued in AZ

Legal business name

SERENITY ADULT LIVING, LLC

Practice address

5601 E 10TH St
Tucson, AZ 85711-3224

Phone

(516) 375-6464

Fax

(520) 514-9394

NPI assigned

Feb 22, 2012

Last updated

Feb 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nila T Horton

Title

Owner

Phone

(516) 375-6464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1841563723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 E 10TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113224",
            "telephone_number": "516-375-6464",
            "fax_number": "520-514-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 E 10TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113224",
            "telephone_number": "516-375-6464",
            "fax_number": "520-514-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ADULT LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "NILA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-375-6464"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "3014380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nancy Jane Sergeant-Abbate, DR.

• Assisted Living Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.