Organization Active NPI

Home of Serenity LLC

  • Assisted Living Facility
  • Port Saint Lucie, FL
National Provider Identifier
1982420089
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HOME OF SERENITY LLC
Practice address
1381 SE Mohave CT
Port Saint Lucie, FL 34952-4118
Phone
(786) 799-0803
NPI assigned
Nov 23, 2024
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Latoya BradleyNPI 1275359374
Title
Owner/Administrator
Phone
(786) 799-0803

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 NU Primary

Addresses

Primary practice location

1381 SE Mohave CT
Port Saint Lucie, FL 34952-4118

Mailing address

1381 SE Mohave CT
Port Saint Lucie, FL 34952-4118
Phone (786) 799-0803

Other names 1

  • Home of Serenity LLC Former legal business name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1982420089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 SE MOHAVE CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524118",
            "telephone_number": "786-799-0803",
            "fax_number": "772-946-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 SE MOHAVE CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524118",
            "telephone_number": "786-799-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME OF SERENITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-23",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "786-799-0803"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home of Serenity LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home of Serenity LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.