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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000565902 | 05 |
| Street Address |
116 S MAGNOLIA AVE SUITE 3D |
| City | OCALA |
| State | FL |
| Zip Code | 34471-1178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
| 1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
| 1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
| 1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
| 1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
| 1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
| 1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
| 1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
| 1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
| 1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
| Find all providers in zip 34471 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396371696 | Blossom and Thrive Counseling and Coaching Inc. | Community/Behavioral Health | 2609 Sw 33rd St Ste 102, Ocala, FL 34471-7775 | 2020-03-18 |
| 1295072072 | Tierwanda Bright | Community/Behavioral Health | 2 Dogwood Loop Ave, Ocala, FL 34472-5658 | 2013-01-13 |
| 1033465091 | Hawthorne LLC | Community/Behavioral Health | 40 Bahia Trace Course, Ocala, FL 34472 | 2012-07-27 |
| 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 |
| 1104094838 | Judy Presley | Community/Behavioral Health | 3035 Ne Jacksonville Rd, Ocala, FL 34479-3311 | 2008-02-15 |
| Find all providers in OCALA | ||||
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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.