COLONY SHINY SERENITY LLC NPI 1255720942

NPI Information

NPI: 1255720942
Provider Name: COLONY SHINY SERENITY LLC

Doing Business As: THE COLONY CLUB ALF

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3799 N PINE ISLAND RD
SUNRISE, FL
ZIP 33351
Phone: (954) 748-0809
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COLONY SHINY SERENITY LLC is an assisted living facility in Sunrise, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COLONY SHINY SERENITY LLC NPI is 1255720942. The provider is registered as an organization entity type.
The provider Is Doing Business As The Colony Club Alf.

The provider's business location address is:

3799 N PINE ISLAND RD
SUNRISE, FL
ZIP 33351-528
Phone: (954) 748-0809

The provider's authorized official is Lonnie Steckler .
The authorized official title is Financial Officer and has the following contact phone number (954) 748-0509.

The enumeration date for this NPI number is 1/18/2015 and was last updated on 1/18/2015.

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
1	310400000X	Assisted Living Facility		7250	FLORIDA	Yes

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

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