SERENITY RESIDENTIAL RESERVE LLC NPI 1255897088

NPI Information

NPI: 1255897088
Provider Name: SERENITY RESIDENTIAL RESERVE, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2319 SE 8TH PL
GAINESVILLE, FL
ZIP 32641
Phone: (352) 281-6377
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SERENITY RESIDENTIAL RESERVE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Gainesville, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SERENITY RESIDENTIAL RESERVE, LLC NPI is 1255897088. The provider is registered as an organization entity type.

The provider's business location address is:

2319 SE 8TH PL
GAINESVILLE, FL
ZIP 32641-351
Phone: (352) 281-6377

The provider's authorized official is Yolanda Hocker .
The authorized official title is Owner/operator and has the following contact phone number (352) 281-6377.

The enumeration date for this NPI number is 2/18/2019 and was last updated on 2/18/2019.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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: 4/28/2024

NPI Synchronization or Removal

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