Organization Active NPI

Serenity Home Support

  • In Home Supportive Care Agency
  • Wilmington, NC
National Provider Identifier
1184448474
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY HOME SUPPORT
Practice address
5215 Market St # a
Wilmington, NC 28405-3433
Phone
(518) 848-0738
NPI assigned
Nov 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Mr. Scott Cislo
Title
Owner
Phone
(518) 848-0738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5215 Market St # a
Wilmington, NC 28405-3433

Mailing address

5304 Trumpet Vine Way
Wilmington, NC 28412-6266
Phone (518) 848-0738

Other names 1

  • Home Helpers Home Care of Wilmington, NC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Home Helpers Home Care of Wilmington NC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1184448474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 TRUMPET VINE WAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126266",
            "telephone_number": "518-848-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 MARKET ST # A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053433",
            "telephone_number": "518-848-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "CISLO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-848-0738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Helpers Home Care of Wilmington, NC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.