Sereniy Family Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCH-082-017 Issued in NC

Legal business name

SERENIY FAMILY CARE HOME

Practice address

1436 Bland School Rd
Harrells, NC 28444-7609

Phone

(910) 532-4805

Fax

(910) 532-2766

NPI assigned

Mar 31, 2011

Last updated

Mar 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Erica Teresa Fennell

Title

Owner

Phone

(910) 337-2590

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erica Teresa Merritt

  • Adult Care Home Facility
  • Willard, NC
  • NPI 1376863423
  NPD (past)

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1194014001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 377",
            "city": "HARRELLS",
            "state": "NC",
            "postal_code": "284440377",
            "telephone_number": "910-532-4805",
            "fax_number": "910-532-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 BLAND SCHOOL RD",
            "city": "HARRELLS",
            "state": "NC",
            "postal_code": "284447609",
            "telephone_number": "910-532-4805",
            "fax_number": "910-532-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENIY FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "FENNELL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-337-2590",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCH-082-017",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "FCH-082-017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfortcab
• Green Acres Family Home Care
• Angelica Lynn Morin, OTA/L
• Sholanda Nicole Owens
• S&K Gracious Living LLC
• Tri County Community Health Council Inc
• Jill Nicole Wieciech, MA CCC-SLP

• Assisted Living Facility in Harrells, NC
• Providers in Harrells, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.