SERENITY MANOR ASSISTED LIVING, INC. (NPI# 1598106387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598106387 |
| Entity Type | Organization |
| Organization Name | SERENITY MANOR ASSISTED LIVING, INC. |
| Practice Address |
322 Regal Park Dr. Valrico FL 33594 |
| Practice Telephone | 8139653748 |
| Mailing Telephone | 8139653748 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | MS. TENEMA RACHAE ANDERSON (ADMINISTRATOR) |
| Authorized Official Telephone | 8139653748 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | AL1196 | FL | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | AL10571 | FL | Nursing & Custodial Care Facilities |
| Street Address |
322 REGAL PARK DR. |
| City | VALRICO |
| State | FL |
| Zip Code | 33594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993184 | Anya De Frias | Dentist | 1620 East Brandon Boulevard, Fl-60, Valrico, FL 33594 | 2020-08-18 |
| 1285151183 | Joshua Ryan Wynne | Chiropractor | 2106 Arbor Oaks Dr, Valrico, FL 33594 | 2017-08-23 |
| 1669993242 | Shahab Samimi | Dentist | 1620 State Road 60 E, Valrico, FL 33594 | 2017-07-04 |
| 1275964314 | New Horizons Psych Services,llc | Assisted Living Facility | 2406 S.r. 60 East, #423, Valrico, FL 33594 | 2013-11-27 |
| 1598195869 | Bonni S. Bishop, LLC | Skilled Nursing Facility | 2406 State Road 60 East, #423, Valrico, FL 33594 | 2013-11-22 |
| 1427488832 | Talia Azor | Social Worker | 4010 Highgate Dr, Valrico, FL 33594 | 2013-11-21 |
| 1457622250 | Charlotte Grier | Pharmacist | 2110 State Road 60 East, Valrico, FL 33594 | 2012-01-25 |
| 1558587733 | Donald Szabo | Optometrist | 1940 E Hwy 60, Valrico, FL 33594 | 2007-04-17 |
| 1346397874 | Elizabeth L Conner | Speech-Language Pathologist | 621 Sand Ridge Dr, Valrico, FL 33594 | 2007-01-05 |
| 1376617043 | Bloomingdale Pediatric Ass Pa | Pediatrics | 4316 Bell Shoals Rd, Valrico, FL 33594 | 2006-11-17 |
| Find all providers in zip 33594 | ||||
| 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 |
|---|---|---|---|---|
| 1801442819 | Helping Hands Senior Services LLC | Assisted Living Facility | 2504 Buckhorn Trace Ct, Valrico, FL 33594-4775 | 2019-08-15 |
| 1053786806 | Comfort Gardens,llc | Assisted Living Facility | 1108 Black Knight Dr, Valrico, FL 33594-5800 | 2015-12-04 |
| 1710353024 | Anric Enterprises, Inc | Assisted Living Facility | 2813 Saint Cloud Oaks Dr, Valrico, FL 33594-3840 | 2015-08-20 |
| 1386035533 | Angels Tch, LLC | Assisted Living Facility | 3115 S Miller Rd, Valrico, FL 33596-5716 | 2015-02-10 |
| 1275964314 | New Horizons Psych Services,llc | Assisted Living Facility | 2406 S.r. 60 East, #423, Valrico, FL 33594 | 2013-11-27 |
| 1255778312 | Clarkes Quality Care, LLC | Assisted Living Facility | 2214 Valrico Forest Dr, Valrico, FL 33594-3709 | 2013-05-30 |
| 1366733834 | Palanis Inc. | Assisted Living Facility | 1807 S Valrico Rd, Valrico, FL 33596-5236 | 2011-05-02 |
| 1417438854 | Genesis Alf of Tampa Management Group Corp | Assisted Living Facility | 1108 Black Knight Dr, Valrico, FL 33594-5800 | 2018-08-23 |
| 1952846636 | Ava Cares, LLC | Assisted Living Facility | 1108 Black Knight Dr, Valrico, FL 33594-5800 | 2017-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275372 | Loving Family Senior Care, LLC | Assisted Living Facility | 2323 Nw 34th St, Miami, FL 33142-5307 | 2020-11-08 |
| 1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
| 1982205787 | Pd & Sr, L.L.C. | Assisted Living Facility | 730 Frisco St Se, Palm Bay, FL 32909-3711 | 2020-11-06 |
| 1982205019 | Cantillo Love & Care LLC | Assisted Living Facility | 1045 W 23rd St, Hialeah, FL 33010-1922 | 2020-11-04 |
| 1194326728 | Bliss Life Residential Care | Assisted Living Facility | 402 Arthur Ave, Lehigh Acres, FL 33936-7412 | 2020-11-02 |
| 1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
| 1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
| 1417556028 | 5081 Cambridge LLC | Assisted Living Facility | 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 | 2020-10-23 |
| 1134728926 | Pacifica Lauderhill LLC | Assisted Living Facility | 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 | 2020-10-22 |
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.