SERENITY COMMUNITY MENTAL HEALTH CENTER LLC (NPI# 1457705634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457705634 |
| Entity Type | Organization |
| Organization Name | SERENITY COMMUNITY MENTAL HEALTH CENTER LLC |
| Practice Address |
3621 Sw 107th Ave Miami FL 33165-3636 |
| Practice Telephone | 7865348366 |
| Practice Fax Number | 7865347118 |
| Mailing Telephone | 7865348366 |
| Mailing Fax Number | 7865347118 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | YADIRA SANTANA (OWNER) |
| Authorized Official Telephone | 7865348366 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12542 Pines Blvd, Pembroke Pines, FL 330271713 | 7865348366 | 7865347118 |
| Street Address |
3621 SW 107TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33165-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265653000 | Florida Foot & Ankle Associates LLC | Podiatrist | 3621 Sw 107th Ave, Miami, FL 33165-3636 | 2007-05-01 |
| 1609401751 | Evaristo Manuel Garcia | Nurse Practitioner | 3621 Sw 107th Ave, Miami, FL 33165-3636 | 2020-03-10 |
| 1003475435 | Eddy Eloy Quintana Cruz | Social Worker | 3621 Sw 107th Ave, Miami, FL 33165-3636 | 2019-06-10 |
| 1396303442 | Reyna Aday | Counselor | 3621 Sw 107th Ave, Miami, FL 33165-3636 | 2019-06-04 |
| 1659840478 | Janet Lorenzo | Nurse Practitioner | 3621 Sw 107th Ave, Miami, FL 33165-3636 | 2018-11-21 |
| 1043799471 | Ana Belen Valdes | Nurse Practitioner | 3621 Sw 107th Ave, Miami, FL 33165-3636 | 2018-08-07 |
| 1134621873 | Laura Lucas | Nurse Practitioner | 3621 Sw 107th Ave, Miami, FL 33165 | 2018-03-07 |
| 1861742512 | George S Levy | Occupational Therapy Assistant | 3621 Sw 107th Ave, Miami, FL 33165-3636 | 2012-09-10 |
| 1598014268 | Yenifer Sevilla | Physical Therapy Assistant | 3621 Sw 107th Ave, Miami, FL 33165-3636 | 2012-09-10 |
| 1205184454 | Best Florida Rehabilitation Center Inc | Clinic/Center | 3621 Sw 107th Ave, Miami, FL 33165-3636 | 2012-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1801401500 | Paradigm Kids Miami LLC | Behavioral Analyst | 11375 Sw 45th St, Miami, FL 33165 | 2020-09-10 |
| 1922643972 | Maritza Suarez | Behavior Technician | 1811 Sw 107th Ave Apt 2301, Miami, FL 33165 | 2019-11-14 |
| 1700439700 | 305 Medical Care Inc | Physical Medicine & Rehabilitation | 8900 Sw 24th, #209, Miami, FL 33165 | 2019-07-18 |
| 1124682299 | Picasso Dental Miami, Inc | General Practice | 9230 Sw 40th St Ste A, Miami, FL 33165 | 2019-04-24 |
| 1538723838 | Mihr Urgent Care Corp | Clinic/Center | 8900 Sw 24 St. Ste #200, Miami, FL 33165 | 2019-04-23 |
| 1942766670 | Daniel Luis Hernandez | Nurse Practitioner | 10250 Sw 56 St Suit D-103, Miami, FL 33165 | 2019-02-19 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1629551700 | Jorge L Hernandez | Nurse Practitioner | 8710 Sw 41 Terrace, Miami, FL 33165 | 2018-09-13 |
| 1245718857 | Cac Florida Medical Centers, LLC | Clinic/Center | 10453-55 Sw 40 Street, Miami, FL 33165 | 2018-08-06 |
| Find all providers in zip 33165 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| 1669089892 | Dayspring Treatment Center LLC | Clinic/Center | 240 Nw 183rd St, Miami, FL 33169-4462 | 2020-10-01 |
| 1790392892 | Salutem Medical Group, LLC | Clinic/Center | 13701 Sw 88th St Ste 306a, Miami, FL 33186-1309 | 2020-09-23 |
| 1861007346 | Deluxe Life Medical Group Corp | Clinic/Center | 4017 Sw 152nd Ave, Miami, FL 33185-5919 | 2020-09-11 |
| 1013522945 | Max Community Wellness Center Inc | Clinic/Center | 10300 Sunset Dr Ste 164, Miami, FL 33173-3002 | 2020-09-08 |
| 1275147936 | Heaven Community Mental Health, LLC | Clinic/Center | 9254 Sw 40th St, Miami, FL 33165-4151 | 2020-09-01 |
| 1861002362 | E & P Behavior Services LLC | Clinic/Center | 12039 Sw 132nd Ct Unit 4-5, Miami, FL 33186-4783 | 2020-08-09 |
| Find all providers in MIAMI | ||||
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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.