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CENTURY OAKS ALF
NPI 1699219345
Assisted Living Facility in Melbourne, FL

Active since December 15, 2016CLIA 10D2197229 · Waiver
4001 STACK BLVD, MELBOURNE, FL 32901(321) 722-4440 Get Directions Write a Review

NPPES record last updated: December 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Century Oaks Alf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTURY OAKS ALF (NPI 1699219345) is a healthcare organization registered as an assisted living facility in Melbourne, Florida and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Lon Steckler, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1699219345
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCENTURY OAKS SERENITY, LLC
Location Address4001 STACK BLVDMelbourne, FL 32901-8500
Mailing Address4001 Stack BlvdMelbourne, FL 32901-8500 · (321) 722-4440
Phone(321) 722-4440
Organization SubpartNo
Authorized OfficialLon StecklerExecutive Director · (954) 748-0509
Enumeration DateDecember 15, 2016
✔ NPI 1699219345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · 10095
Definition
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.
4001 STACK BLVD, Melbourne, FL 32901
Open in Google Maps ↗

Other Names 1

Doing Business AsCentury Oaks Alf

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2197229

Century Oaks · Melbourne, FL
Active · expires Oct 21, 2026
CLIA Number10D2197229
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorDecoya L. Jackson
Laboratory Phone(321) 722-4440
Laboratory LocationCentury Oaks4001 Stack Blvd, Melbourne, FL 32901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA ALBA
Occupational Therapist
4001 STACK BLVD
MELBOURNE, FL 32901
Brevard County (321) 722-4440
MR. RAFAEL CALES III PTA
Physical Therapy Assistant
4001 STACK BLVD
MELBOURNE, FL 32901
Brevard County (321) 676-9011
DR. NAKITA BERNADETTE KNOWLES DPT
Physical Therapist
4001 STACK BLVD
MELBOURNE, FL 32901
Brevard County (321) 499-4690
MS. PAMELA LYNN MILLER COTA
Occupational Therapy Assistant
4001 STACK BLVD
MELBOURNE, FL 32901
Brevard County (321) 676-9011
JOSEPHINE OGOE L/COTA
Occupational Therapy Assistant
4001 STACK BLVD
MELBOURNE, FL 32901
Brevard County (321) 499-4690
VALENTINA LOPEZ
Physical Therapy Assistant
4001 STACK BLVD
MELBOURNE, FL 32901
Brevard County (321) 722-4440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Century Oaks Serenity, LLC's NPI number?

The NPI number for Century Oaks Serenity, LLC is 1699219345. It was assigned to this organization in the NPPES registry on December 15, 2016. The provider is doing business as Century Oaks Alf.

Where is Century Oaks Serenity, LLC located?

Century Oaks Serenity, LLC is located at 4001 Stack Blvd, Melbourne, FL 32901. The listed phone number is (321) 722-4440.

What is Century Oaks Serenity, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Century Oaks Serenity, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2197229) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Century Oaks Serenity, LLC was last updated on December 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.