Active NPI
Serenity Home Support
- In Home Supportive Care Agency
- Wilmington, NC
National Provider Identifier
1184448474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Home Helpers Home Care of Wilmington NC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Aide
- Wilmington, NC
- NPI 1801713276
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.