SERENITY ASSISTED LIVING FACILITY LLC (NPI# 1336557180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336557180 |
| Entity Type | Organization |
| Organization Name | SERENITY ASSISTED LIVING FACILITY LLC |
| Practice Address |
15322 Matis Rd Hudson FL 34669-1023 |
| Practice Telephone | 7278623908 |
| Practice Fax Number | 7278635270 |
| Mailing Telephone | 7278623908 |
| Mailing Fax Number | 7278635270 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Authorized Official Name | MS. NICOLA E MATTHEWS (ADMINISTRATOR) |
| Authorized Official Telephone | 7278623908 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL9407 | FL | Nursing & Custodial Care Facilities |
| Street Address |
15322 MATIS RD |
| City | HUDSON |
| State | FL |
| Zip Code | 34669-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851346 | Karewego LLC | Home Health | 14851 State Road, Suite 107, Hudson, FL 34669 | 2020-01-28 |
| 1780919969 | Jennifer L. Laman | Family Medicine | 13235 State Road 52 Ste 102, Hudson, FL 34669 | 2009-10-06 |
| 1710120613 | Michael Dale Harless | Community Health Worker | 11836 Lakewood Dr, Hudson, FL 34669 | 2009-04-08 |
| 1386739506 | Teodulo Reyes Mationg | Internal Medicine | 10201 Sr 52, Hudson, FL 34669 | 2006-10-04 |
| 1538634761 | Medical Risk Solutions | Family Medicine | 14730 Cobra Way, Hudson, FL 34669 | 2018-10-03 |
| 1255726683 | Michael Lamparelli | Family Medicine | 13235 State Road 52 Ste 102, Hudson, FL 34669 | 2015-04-02 |
| 1902109929 | Charity Eleanor Spencer | Physician Assistant | 13235 State Road 52 Ste 102, Hudson, FL 34669 | 2010-12-14 |
| 1811341860 | Christina Guida | Specialist | 14410 Cobra Way, Hudson, FL 34669-1011 | 2016-04-15 |
| 1396913638 | Colleen Jones | Occupational Therapy Assistant | 14302 Cobra Way, Hudson, FL 34669-1011 | 2008-02-20 |
| 1710989967 | Catherine Bond | Nurse Practitioner | 14730 Cobra Way, Hudson, FL 34669-1083 | 2005-06-01 |
| Find all providers in zip 34669 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427666593 | Hudson Coh II, LLC | Assisted Living Facility | 805 Heggen St, Hudson, WI 54016-5005 | 2020-07-15 |
| 1366050429 | Hudson Coh, LLC | Assisted Living Facility | 1111 Heggen St, Hudson, WI 54016-9222 | 2020-07-15 |
| 1982091518 | Marydale Inc | Assisted Living Facility | 7632 Maryland Ave, Hudson, FL 34667-3261 | 2015-04-21 |
| 1497157754 | Brookwood Assisted Living Facility Inc | Assisted Living Facility | 7211 Beacon Woods Dr, Hudson, FL 34667-1975 | 2014-09-18 |
| 1396152963 | Green Acres | Assisted Living Facility | 15820 Archer St, Hudson, FL 34667-3816 | 2014-07-16 |
| 1376955633 | Collin Mulder | Assisted Living Facility | 14108 Old Dixie Hwy, Hudson, FL 34667-1362 | 2014-05-21 |
| 1124440458 | Braybrook Assisted Living | Assisted Living Facility | 7532 State Road 52, Hudson, FL 34667-6715 | 2014-01-06 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1720416357 | The Hendricks Group Inc. | Assisted Living Facility | 1015 Crest View Dr, Hudson, WI 54016-9442 | 2013-10-16 |
| 1154674166 | Lake Karl Properties, Inc. | Assisted Living Facility | 13009 Lake Karl Dr, Hudson, FL 34669-2374 | 2012-10-16 |
| Find all providers in HUDSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.