Serenity Gardens

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL10176 Issued in FL

Legal business name

SERENITY GARDENS

Practice address

5811 NW 28TH St
Lauderhill, FL 33313-2333

Phone

(754) 264-2949

NPI assigned

Dec 5, 2011

Last updated

Dec 5, 2011By 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

Susan Spaw

Title

Owner/Admin

Phone

(754) 264-2949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1932477031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 NW 28TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333132333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 NW 28TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333132333",
            "telephone_number": "754-264-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "SPAW",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "754-264-2949"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL10176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan A. Schwitzer, M.D.
• Danielle Scott
• Sean Nochimson DO PA
• Giselle Escarlet Sencion
• Seneca Healthcare & Wellness Center LLC
• Serenity House Detox
• Serenity House Detox
• Sergio Jacas DMD LLC (Jacas Family Dental)
• Keyla Marie Serrano, MS
• Sesame Flyers of South Florida Inc.

• Assisted Living Facility (Mental Illness) in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.