MEDICARE: SERENITY SPRINGS LIVING FACILITIES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3104A0625X	Assisted Living Facility (Mental Illness)

General Provider Information

NPI Number	:	1962227058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY SPRINGS LIVING FACILITIES, INC

Provider Business Mailing Address
First Line	:	12555 ORANGE DR STE 4179
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33330-4304
Country	:	US
Telephone Number	:	786-405-2708
Fax Number	:

Provider Business Practice Location Address
First Line	:	1845 GARFIELD ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-3115
Country	:	US
Telephone Number	:	954-921-1819
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	YANET LOPEZ
Credential	:
Telephone Number	:	786-405-2708

Provider Enumeration Date	:	11/22/2024
Last Update Date	:	11/22/2024

Similar Medicare Providers

1720413206 — BUCKINGHAM PLACE LLC
Practice Location Address:

1845 GARFIELD ST
HOLLYWOOD, FL
33020-3115

Practice Phone: 954-921-1819
Practice Fax:

1285305912 — MRS. MANAL OLIVER
Practice Location Address:

1845 GARFIELD ST
HOLLYWOOD, FL
33020-3115

Practice Phone: 305-868-7620
Practice Fax:

1326797432 — SUNNY DAYS ASSISTED LIVING FACILITY LLC
Practice Location Address:

1845 GARFIELD ST
HOLLYWOOD, FL
33020-3115

Practice Phone: 549-921-1819
Practice Fax:

1073219150 — BRIAN DE LEON
Practice Location Address:

1845 GARFIELD ST
HOLLYWOOD, FL
33020-3115

Practice Phone: 954-505-8551
Practice Fax:

1700231602 — MIRTA DAVID
Practice Location Address:

3115 LEE ST
HOLLYWOOD, FL
33021-3712

Practice Phone: 305-785-2898
Practice Fax: 954-920-2694

1821549312 — PATHWAYS INC
Practice Location Address:

44065 AIRPORT VIEW DR
HOLLYWOOD, MD
20636-3115

Practice Phone: 301-373-3065
Practice Fax:

Directions to “SERENITY SPRINGS LIVING FACILITIES, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.