Active NPI
Serenity Residential Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- SERENITY RESIDENTIAL SERVICES
- Practice address
- 711 Middle Rd
Fayetteville, NC 28312-5211 - Phone
- (910) 583-1104
- Fax
- (910) 630-1104
- NPI assigned
- Apr 7, 2008
- Last updated
- Apr 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darrin Lee McNeill
- Title
- President
- Phone
- (910) 583-1104
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NC | Primary |
Addresses
Primary practice location
711 Middle Rd
Fayetteville, NC 28312-5211
Mailing address
532 Offing Dr
Fayetteville, NC 28314-2903
Phone (910) 583-1104
National Provider Directory
National Provider Directory- Tax ID family
- Serenity Residential Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Raeford, NC
- NPI 1568792109
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Raeford, NC
- NPI 1962913673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207526400000",
"number": "1033382486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 OFFING DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283142903",
"telephone_number": "910-583-1104",
"fax_number": "910-630-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 MIDDLE RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283125211",
"telephone_number": "910-583-1104",
"fax_number": "910-630-1104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY RESIDENTIAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-07",
"last_updated": "2008-04-07",
"status": "A",
"authorized_official_last_name": "MCNEILL",
"authorized_official_first_name": "DARRIN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-583-1104"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.