Provider Type Icon

SERENITY COMPANION SERVICE INC. NPI 1013366939


NPI Information

NPI: 1013366939
Provider Name: SERENITY COMPANION SERVICE, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
116 S MAGNOLIA AVE
SUITE 3D
OCALA, FL
ZIP 34471
Phone: (352) 348-3509
Get Directions

SERENITY COMPANION SERVICE, INC. is a community behavioral health in Ocala, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SERENITY COMPANION SERVICE, INC. NPI is 1013366939. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

116 S MAGNOLIA AVE
SUITE 3D
OCALA, FL
ZIP 34471-178
Phone: (352) 348-3509
Fax: (180) 037-2701

The provider's authorized official is Lavette Gulley .
The authorized official title is Owner and has the following contact phone number (352) 348-3509.

The enumeration date for this NPI number is 6/10/2016 and was last updated on 1/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106S00000XBehavior Technician231201FLORIDANo
2251S00000XCommunity/Behavioral Health231201FLORIDAYes
3253Z00000XIn Home Supportive Care231201FLORIDANo
4305R00000XPreferred Provider Organization231201FLORIDANo
5385HR2060XRespite CareRespite Care, Intellectual and/or Developmental Disabilities231201FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000565902MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.