NPIMap

Organization Active NPI

Sunset Serenity Care Home LLC

  • Personal Care Attendant
  • Salem, OR
National Provider Identifier
1124998554
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
SUNSET SERENITY CARE HOME LLC
Practice address
4286 Camellia Dr S
Salem, OR 97302-2710
Phone
(971) 406-5944
NPI assigned
Nov 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Derron Simpson
Title
Owner
Phone
(971) 406-5944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

4286 Camellia Dr S
Salem, OR 97302-2710

Mailing address

4286 Camellia Dr S
Salem, OR 97302-2710
Phone (971) 406-5944

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1124998554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4286 CAMELLIA DR S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022710",
            "telephone_number": "971-406-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4286 CAMELLIA DR S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022710",
            "telephone_number": "971-406-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET SERENITY CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "DERRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-406-5944"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.