Serenity Ranch Assisted Living Home , Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11718 Issued in FL

Legal business name

SERENITY RANCH ASSISTED LIVING HOME , INC

Practice address

12475 SW 58TH St
Southwest Ranches, FL 33330-3201

Phone

(954) 533-9184

Fax

(954) 533-9187

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Luann Massa Samuelson

Title

Owner/Administrator

Phone

(954) 478-2310

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1861827131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12475 SW 58TH STREET",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "33330",
            "telephone_number": "954-533-9184",
            "fax_number": "954-533-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12475 SW 58TH ST",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333303201",
            "telephone_number": "954-533-9184",
            "fax_number": "954-533-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY RANCH ASSISTED LIVING HOME , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "LUANN",
        "authorized_official_middle_name": "MASSA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-478-2310"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Therapy Services Corp
• Isabel B Ruiz-Martinez, DDS
• Maritza Ruiz, LMHC
• Narinder Kaur Sarohia, OT
• Denise Carol Semashko, MD
• Serenity Ranch Assisted Living Home, Inc
• Sierra Dental Inc.
• Florence L Solages, M.D.
• Vivian I Solivan, D.C.
• Emily Spatz, LMFT

• Assisted Living Facility in Southwest Ranches, FL
• Providers in Southwest Ranches, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.