Serenity Support Care Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SERENITY SUPPORT CARE INC

Practice address

1211 W Tharpe St Ste a
Tallahassee, FL 32303-5385

Phone

(850) 900-7869

Fax

(407) 612-2342

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Estelle Jones

Title

Owner

Phone

(850) 900-7869

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1992584601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W THARPE ST STE A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035385",
            "telephone_number": "850-900-7869",
            "fax_number": "407-612-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W THARPE ST STE A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035385",
            "telephone_number": "850-900-7869",
            "fax_number": "407-612-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SUPPORT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-900-7869"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.