Organization Active NPI

Serenity Senior Care LLC

  • Home Health Agency
  • High Point, NC
National Provider Identifier
1174361240
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY SENIOR CARE LLC
Practice address
635 N Main St Suite 5 2ND FL
High Point, NC 27260
Phone
(336) 347-3845
Fax
(336) 875-4010
NPI assigned
Jul 15, 2024
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Mrs. Renee Jett
Title
Owner
Phone
(336) 347-3845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

635 N Main St Suite 5 2ND FL
High Point, NC 27260

Mailing address

635 N Main St Suite 5 2ND FL
High Point, NC 27260
Phone (336) 347-3845

National Provider Directory

National Provider Directory

Locations

635 N Main St
Ste 5
High Point, NC 27260
Phone (336) 347-3845

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1174361240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N MAIN ST SUITE 5 2ND FL",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27260",
            "telephone_number": "336-347-3845",
            "fax_number": "336-875-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N MAIN ST SUITE 5 2ND FL",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27260",
            "telephone_number": "336-347-3845",
            "fax_number": "336-875-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "JETT",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-347-3845",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.