Serenity Village Inc

LBN: Serenity Village Inc
Serenity Village Inc is an health care organization with primary practice located at 3420 S Dale Mabry Hwy Ste S , Tampa FL 33629-8660. The organization recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing & Custodial Care Facilities / Assisted Living Facility, 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, Nursing Service Related Providers / Day Training/Habilitation Specialist. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Serenity Village Inc can be contacted via phone (727) 648-4925, or through Hartfield, Gary T via phone (727) 452-8744.

Contact Information

Primary practice address
3420 S Dale Mabry Hwy Ste S Tampa FL 33629-8660
Phone: (727) 648-4925
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hartfield, Gary T
Phone: (727) 452-8744

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1811649882
LBN Legal business name Serenity Village Inc
DBA Doing business as
Authorized official Hartfield, Gary T
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2022
Last updated Jan 21st, 2022 - about 2 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 1811649882 NPPES
Florida MEDICAID 685663296

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