Nebo Hands of Serenity LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEBO HANDS OF SERENITY LLC

Practice address

110 S Blackstock Rd
Spartanburg, SC 29301-2556

Phone

(864) 417-4920

NPI assigned

May 13, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Leon Nebo

Title

Owner

Phone

(864) 417-4920

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tawanna Nichole Tate

  • Home Health Aide
  • Spartanburg, SC
  • NPI 1295582294
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1003553835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S BLACKSTOCK RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012556",
            "telephone_number": "864-417-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S BLACKSTOCK RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012556",
            "telephone_number": "864-417-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBO HANDS OF SERENITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "NEBO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-417-4920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W91583SC1",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Nasuti, BCBA
• Yuliya Neagu, PHARMD
• Kaylema Irene Neal
• Toni R Neal, R.PH
• Eric Ray Nease, D.D.S., M.D.S.
• Allison Rebecca Neeley, RN
• Elizabeth Jolly Neely, ED. S., LPC, FMCHC
• Richard Neese, MD
• Cheryl Ann Neff, RN
• Maria Milagros Negron Alvarez, MD

• Home Health Agency in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.