Serenity Home Health Care

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SERENITY HOME HEALTH CARE

Practice address

400 S Main St Ste B-1
Mauldin, SC 29662-2251

Phone

(864) 385-5113

NPI assigned

Jan 24, 2015

Organization subpart

No

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

Authorized official

Name

Vanessa Vance-Logan, MSW

Title

Ceo

Phone

(864) 385-5113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Serenity Home Health Care Former legal business name

Locations

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

{
    "created_epoch": "1422057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422057600000",
    "number": "1215327622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST STE B-1",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622251",
            "telephone_number": "864-385-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST STE B-1",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622251",
            "telephone_number": "864-385-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-24",
        "last_updated": "2015-01-24",
        "status": "A",
        "authorized_official_last_name": "VANCE-LOGAN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-385-5113",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251B00000X",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Home Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Case Management Agency in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Case Management Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2015; 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.