State of Serenity Home Care

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

STATE OF SERENITY HOME CARE

Doing business as

SOS Home care

Practice address

101 Brady CT Ste B
Cary, NC 27511-4572

Phone

(919) 972-1964

NPI assigned

Jan 26, 2021

Organization subpart

No

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

Authorized official

Name

Romaric Waguia Kouam, RNNPI 1114619400

Title

Administrator

Phone

(919) 412-6821

Specialties & licenses 1

Addresses

Other names 1

• SOS Home care Doing business as

Locations

Practitioners 1

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

• Romaric Waguia Kouam

  • Emergency Medicine Physician
  • Wisconsin Rapids, WI
  • NPI 1114619400
  NPD Authorized official

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1093305831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRADY CT STE B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114572",
            "telephone_number": "919-972-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRADY CT STE B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114572",
            "telephone_number": "919-972-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SERENITY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "WAGUIA KOUAM",
        "authorized_official_first_name": "ROMARIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-412-6821",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOS Home care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Frederic Starck, D.D.S.
• Emily Kim Stark Elliott, M.E.D CCC-SLP
• Allison Starling, RBT
• Jaclyn Starritt, PH.D.
• Eric Stashko, M.D.
• Germekia Staten
• Lily Stavish
• Stay Pawsome
• Staydry USA LLC (StayDry Med Centers)
• Lavonne Kay Steckler-Kramer, P.T.

• Home Health Registered Nurse in Cary, NC
• Providers in Cary, NC by specialty
• Home Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.