SERENITY CHOICE PLACE, LLC – NPI #1467835900
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

SERENITY CHOICE PLACE, LLC is a community based residential treatment facility located in LEESBURG, FL. NPPES has assigned the NPI number 1467835900 to SERENITY CHOICE PLACE, LLC on July 01, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SERENITY CHOICE PLACE, LLC below.

NPI Profile for
SERENITY CHOICE PLACE, LLC

NPI Number
1467835900
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SERENITY CHOICE PLACE, LLC
Primary location
721 BALMORAL CIRCLE
LEESBURG, FL 34748
Phone: (321) 396-2427 Fax:
2 Other location(s):
216 Afton Sq
Unit 309
Altamonte Springs, FL 32714-3842
Phone: (704) 450-8529
721 Balmoral Cir
Leesburg, FL 34748-5606
Phone: (704) 450-8529
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PEBBLES CARSON
OWNER/ MANAGER
Phone: (321) 396-2427
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.