SHORESIDE SERENITY NPI 1134090574

NPI Information

  • NPI: 1134090574
  • Provider Name: SHORESIDE SERENITY
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 8708 NW 57TH DR
    TAMARAC, FL
    ZIP 33321
  • Phone: (908) 240-9207

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NPI Details

SHORESIDE SERENITY is an assisted living facility in Tamarac, FL. The provider is 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. SHORESIDE SERENITY NPI is 1134090574. The provider is registered as an organization entity type.

The provider's business location address is:

8708 NW 57TH DR
TAMARAC, FL
ZIP 33321-402
Phone: (908) 240-9207

The provider's authorized official is Mindy S Washington .
The authorized official title is Owner/administrator and has the following contact phone number (908) 340-9207.

The enumeration date for this NPI number is 9/17/2025 and was last updated on 9/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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