Serenity Residential Services Inc

LBN: Serenity Residential Services Inc
Serenity Residential Services Inc is an health care organization with primary practice located at 2406 University Blvd W , Jacksonville FL 32217-2002. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Serenity Residential Services Inc can be contacted via phone (904) 379-8914, or through Thomas, Lauren Ashlee via phone (904) 379-8914.

Contact Information

Primary practice address
2406 University Blvd W Jacksonville FL 32217-2002
Phone: (904) 379-8914
Fax: (904) 800-1465
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Lauren Ashlee
Phone: (904) 379-8914

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Florida
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1912494246
LBN Legal business name Serenity Residential Services Inc
DBA Doing business as
Authorized official Thomas, Lauren Ashlee
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2018
Last updated Apr 23rd, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912494246 NPPES
Florida MEDICAID 010423200

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