Organization Active NPI

Serenity Place Independent Living Center, LLC

  • Assisted Living Facility
  • Orlando, FL
National Provider Identifier
1871053470
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENITY PLACE INDEPENDENT LIVING CENTER, LLC
Practice address
5401 S Kirkman Rd Ste 235
Orlando, FL 32819-7940
Phone
(407) 844-5840
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Ms. Nakia StarkerNPI 1528567963
Title
Manager
Phone
(407) 844-5840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5401 S Kirkman Rd Ste 235
Orlando, FL 32819-7940

Mailing address

5401 S Kirkman Rd Ste 235
Orlando, FL 32819-7940

National Provider Directory

National Provider Directory

Locations

5401 S Kirkman Rd
Ste 235
Orlando, FL 32819
Phone (407) 844-5840

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1871053470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S KIRKMAN RD STE 235",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S KIRKMAN RD STE 235",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197940",
            "telephone_number": "407-844-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PLACE INDEPENDENT LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "STARKER",
        "authorized_official_first_name": "NAKIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-844-5840",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.