S&S Serenity 369 LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

S&S SERENITY 369 LLC

Practice address

2185 Waterside Cir Apt 108
Graham, NC 27253-3251

Phone

(336) 417-3001

NPI assigned

Aug 19, 2024

Last updated

Aug 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Josette Burnette

Title

Owner

Phone

(336) 417-3001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1023840089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 WATERSIDE CIR APT 108",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533251",
            "telephone_number": "336-417-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 WATERSIDE CIR APT 108",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533251",
            "telephone_number": "336-417-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&S SERENITY 369 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "BURNETTE",
        "authorized_official_first_name": "JOSETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-417-3001"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Graham, NC
• Providers in Graham, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.