Serenity Place Family Care Group Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SERENITY PLACE FAMILY CARE GROUP HOME

Practice address

2011 Carrington Dr
Orlando, FL 32807-5206

Phone

(407) 914-8731

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Miss Carmel Natalie Gabriel, CNA

Title

Certified Nursing Assistant

Phone

(407) 914-8731

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1992106496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CARRINGTON DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328075206",
            "telephone_number": "407-914-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 CARRINGTON DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328075206",
            "telephone_number": "407-914-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PLACE FAMILY CARE GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_middle_name": "NATALIE",
        "authorized_official_title_or_position": "CERTIFIED NURSING ASSISTANT",
        "authorized_official_telephone_number": "407-914-8731",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010617200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Health & Consulting
• Serenity Health Spa, LLC
• Serenity Home Care & Services
• Serenity Homemaker and Companion Services LLC
• Serenity Minded Solutions LLC
• Serenity Place Independent Living Center, LLC
• Serenity Therapeutic Massage
• Serenity Villa Alf LLC
• Serenity Women'S Health and Wellness LLC
• Serenity Years LLC

• Adult Care Home Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.