MEDICARE: SERENITY LIFESTYLE PLUS II

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	310400000X	Assisted Living Facility
2	310400000X	Assisted Living Facility		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982107678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY LIFESTYLE PLUS II

Provider Business Mailing Address
First Line	:	178 EVERGREEN ST NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-1905
Country	:	US
Telephone Number	:	321-914-3006
Fax Number	:	321-914-3006

Provider Business Practice Location Address
First Line	:	178 EVERGREEN ST NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-1905
Country	:	US
Telephone Number	:	321-914-3006
Fax Number	:	321-914-3006

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ANALISA DUNCAN
Credential	:
Telephone Number	:	617-438-2866

Provider Enumeration Date	:	03/09/2018
Last Update Date	:	12/20/2022

Similar Medicare Providers

1508033879 — JANICE HAYE
Practice Location Address:

5201 WALLIS RD APT A
WEST PALM BEACH, FL
33415-1905

Practice Phone: 561-478-5340
Practice Fax:

1962637884 — TIMI STORMS LCSW
Practice Location Address:

304 DAVIS RD
PALM SPRINGS, FL
33461-1905

Practice Phone: 561-762-2187
Practice Fax: 561-429-4010

1023660867 — LITTLE MUNCHKINS PROFESSIONAL CLINICAL COUNSELOR INC
Practice Location Address:

1905 PALM AVE
SAN MATEO, CA
94403-1326

Practice Phone: 650-405-7022
Practice Fax:

1083303192 — ZULAY YAN RODRIGUEZ
Practice Location Address:

1905 S FLORIDA MANGO RD
WEST PALM BEACH, FL
33406-6737

Practice Phone: 561-891-3676
Practice Fax:

1871608653 — BUONADONNA SHOPRITE LLC
Practice Location Address:

1905 SUNRISE HWY
BAY SHORE, NY
11706-6017

Practice Phone: 631-666-9377
Practice Fax: 631-666-9330

1760678452 — KIMBERLY ANN BRANDENBURG RN
Practice Location Address:

1905 1/2 RAYMOND ST
BAY CITY, MI
48706-5258

Practice Phone: 989-895-1360
Practice Fax:

Directions to “SERENITY LIFESTYLE PLUS II ” 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 © 2007-2026 (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.