SERENITY COMPANION SERVICE, INC.


Address: 116 S Magnolia Ave, Suite 3d, Ocala, FL 34471-1178
Phone: 3523483509

SERENITY COMPANION SERVICE, INC. (NPI# 1013366939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013366939
Entity Type Organization
Organization Name SERENITY COMPANION SERVICE, INC.
Practice Address 116 S Magnolia Ave
Suite 3d
Ocala
FL 34471-1178
Mailing Address 15 Fir Trail Crse
Ocala
FL 34472-4220
Practice Telephone 3523483509
Practice Fax Number 1800372701
Mailing Telephone 3523483509
Enumeration Date 2016-06-10
Last Update Date 2017-01-04
Authorized Official Name MS. LAVETTE GULLEY (OWNER)
Authorized Official Telephone 3523483509
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 305R00000X Preferred Provider Organization 231201 FL Managed Care Organizations
N 106S00000X Behavior Technician 231201 FL Behavioral Health & Social Service Providers
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
231201 FL Respite Care Facility
N 253Z00000X In Home Supportive Care 231201 FL Agencies
Y 251S00000X Community/Behavioral Health 231201 FL Agencies

Other Provider Identifier

State Issuer Identifier Type Code
FL 000565902 05

Office Location

Street Address 116 S MAGNOLIA AVE
SUITE 3D
City OCALA
State FL
Zip Code 34471-1178

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1659645018 Melanee Davis Community/Behavioral Health 14221 Sw 48th Court Rd, Ocala, FL 34473-2384 2012-03-02
1821373846 Children's Home Society of Florida, Inc. Community/Behavioral Health 11 N Magnolia Ave, Ocala, FL 34475-6629 2011-10-21
1467737726 Childrens Home Society Community/Behavioral Health 1207 Se 16th St, Ocala, FL 34471-4501 2011-10-19
1942580949 All About Behavior, LLC Community/Behavioral Health 410 Se 11th St, Ocala, FL 34471-3741 2011-08-22
1679715676 New Alternatives In Community Living, Inc. Community/Behavioral Health 1406 Se 36th Ave, Ocala, FL 34471-4939 2009-04-06
1699946392 Steve Curry Inc Community/Behavioral Health 1111 Ne 25th Ave Ste 504, Ocala, FL 34470-5669 2008-03-20
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Competitor

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City OCALA
Zip Code 34471

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Dataset Information

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.

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