SERENITY ADULT FAMILY CARE HOME LLC (NPI# 1790192979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790192979 |
| Entity Type | Organization |
| Organization Name | SERENITY ADULT FAMILY CARE HOME LLC |
| Practice Address |
748 Mellowood Ave Orlando FL 32825-8077 |
| Practice Telephone | 4072194283 |
| Mailing Telephone | 4072194283 |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2014-07-19 |
| Authorized Official Name | MS. MARCIA MILLER (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 4072194283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906686 | FL | Nursing & Custodial Care Facilities |
| Street Address |
748 MELLOWOOD AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32825-8077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306234075 | Marcia Miller | Home Health Aide | 748 Mellowood Ave, Orlando, FL 32825-8077 | 2015-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1649837550 | Jessica Rivera | Social Worker | 10600 Bloomfield Drive, Apt 918, Orlando, FL 32825 | 2019-05-27 |
| 1326526708 | Total Family Care LLC | Family Medicine | 106 North Dean Road, Suite 1, Orlando, FL 32825 | 2018-07-30 |
| 1285121772 | Neurological Health Associates, L.L.C. | Psychiatry & Neurology | 11602 Lake Underhill Rd., Suite 104, Orlando, FL 32825 | 2018-04-19 |
| 1336636075 | Vijaya Laxmi Telu | Nurse Practitioner | 100 North Dean Rd Suite 101, Orlando, FL 32825 | 2018-04-18 |
| 1740795053 | Anna Louise Morris | Specialist/Technologist | 10719 Fairhaven Way, Orlando, FL 32825 | 2017-12-08 |
| 1568973352 | Darrenn G Cadet | Behavior Technician | 11121 Tortuga Bnd, Orlando, FL 32825 | 2017-10-19 |
| 1265942072 | Raquel B Saliba | Physical Therapist | 250 South Chickasaw Trail, Orlando, FL 32825 | 2017-10-06 |
| 1528585890 | Vreny Tatyana Gonzalez-casas | Behavior Technician | 3206 Mattson Dr, Orlando, FL 32825 | 2017-08-27 |
| 1184147803 | Alexandra Grace Mcmanus | Social Worker | 11258 Point Sylvan Circle, Orlando, FL 32825 | 2017-07-25 |
| Find all providers in zip 32825 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
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| 1639678139 | Lise's Garden Afch, LLC | Custodial Care Facility | 1542 Providence Cir, Orlando, FL 32818-5708 | 2018-02-09 |
| 1821506585 | Have Faith Care Services | Custodial Care Facility | 927 S Goldwyn Ave Ste 117, Orlando, FL 32805-4389 | 2018-01-16 |
| 1144743733 | A Home With Tlc LLC | Custodial Care Facility | 4116 Lenox Blvd, Orlando, FL 32811-4134 | 2017-07-25 |
| 1659824357 | Marie Francois | Custodial Care Facility | 8655 Tarragon Dr, Orlando, FL 32825-3644 | 2016-07-28 |
| 1003288499 | Edith Bort | Custodial Care Facility | 227 Woodbury Pines Cir, Orlando, FL 32828-9086 | 2015-10-23 |
| 1992106496 | Serenity Place Family Care Group Home | Custodial Care Facility | 2011 Carrington Dr, Orlando, FL 32807-5206 | 2014-09-16 |
| 1386045813 | Hermina Jean | Custodial Care Facility | 3502 Londonberry Blvd, Orlando, FL 32808-3629 | 2014-09-16 |
| 1043645716 | Allheart Board and Care | Custodial Care Facility | 2668 Logandale Dr, Orlando, FL 32817-4722 | 2013-09-12 |
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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.