Provider Demographics
NPI:1508555095
Name:SEREN SWEET HOME ALF LLC
Entity Type:Organization
Organization Name:SEREN SWEET HOME ALF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PINEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-493-9251
Mailing Address - Street 1:11825 SW 206TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-5447
Mailing Address - Country:US
Mailing Address - Phone:305-255-6750
Mailing Address - Fax:305-397-1860
Practice Address - Street 1:11825 SW 206TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-5447
Practice Address - Country:US
Practice Address - Phone:305-255-6750
Practice Address - Fax:305-397-1860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11532OtherAHCA