Organization Active NPI

Serenity Lifestyle Plus II

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1982107678
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENITY LIFESTYLE PLUS II
Practice address
178 Evergreen St NE
Palm Bay, FL 32907-1905
Phone
(321) 914-3006
Fax
(321) 914-3006
NPI assigned
Mar 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Ms. Analisa DuncanNPI 1396136842
Title
Owner
Phone
(617) 438-2866

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FL Primary
Assisted Living Facility 310400000X

Addresses

Primary practice location

178 Evergreen St NE
Palm Bay, FL 32907-1905

Mailing address

178 Evergreen St NE
Palm Bay, FL 32907-1905
Phone (321) 914-3006

National Provider Directory

National Provider Directory

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": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1982107678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 EVERGREEN ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071905",
            "telephone_number": "321-914-3006",
            "fax_number": "321-914-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 EVERGREEN ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071905",
            "telephone_number": "321-914-3006",
            "fax_number": "321-914-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY LIFESTYLE PLUS II",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ANALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-438-2866",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.