Serenity Assisted Care Living, L.L.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERENITY ASSISTED CARE LIVING, L.L.C.

Practice address

1945 Pennsylvania St
Beaumont, TX 77701-6025

Phone

(409) 299-5855

Fax

(409) 291-8555

NPI assigned

Oct 30, 2018

Organization subpart

No

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

Authorized official

Name

Roselyne Vertil

Title

Owner/Administrator

Phone

(409) 299-5855

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1902373749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 PENNSYLVANIA ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777016025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 PENNSYLVANIA ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777016025",
            "telephone_number": "409-299-5855",
            "fax_number": "409-291-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ASSISTED CARE LIVING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "VERTIL",
        "authorized_official_first_name": "ROSELYNE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "409-299-5855"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.