THE BROADMOOR ALF
NPI 1750753851
Assisted Living Facility in Fort Pierce, FL
About The Broadmoor Alf NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE BROADMOOR ALF (NPI 1750753851) is a healthcare organization registered as an assisted living facility in Fort Pierce, Florida and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Lonnie Steckler, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 10D2203934
The Broadmoor Alf · Fort Pierce, FLOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT PIERCE, FL 34982
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 Serenity Broadmoor LLC's NPI number?
The NPI number for Serenity Broadmoor LLC is 1750753851. It was assigned to this organization in the NPPES registry on October 28, 2015. The provider is doing business as The Broadmoor Alf.
Where is Serenity Broadmoor LLC located?
Serenity Broadmoor LLC is located at 200 Dixieland Dr, Fort Pierce, FL 34982. The listed phone number is (772) 468-7235.
What is Serenity Broadmoor LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Serenity Broadmoor LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2203934) is associated with this NPI, valid through December 6, 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 Serenity Broadmoor LLC was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# The Broadmoor Alf · NPI 1750753851
Assisted Living Facility organization in Fort Pierce, Florida. Organization record, active in the CMS NPPES registry since October 28, 2015.
## Identity
- **NPI:** 1750753851 (Entity type: Organization)
- **Enumerated:** October 28, 2015
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Serenity Broadmoor Llc
- **Organization subpart:** No
- **Authorized official:** Lonnie Steckler, MANAGER
## Practice location
- **Address:** 200 DIXIELAND DR, Fort Pierce, FL 34982-6706
- **Phone:** (772) 468-7235
## Record status
- **NPPES last updated:** October 28, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750753851) · Data from the CMS NPPES public registry.