M&M Serenity Adult Day Care

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

M&M SERENITY ADULT DAY CARE

Practice address

501 Deese St
Monroe, NC 28112-5003

Phone

(704) 218-2128

Fax

(704) 218-2128

NPI assigned

Feb 17, 2017

Last updated

Feb 17, 2017By 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

Teresa A Meadows, LICENSENPI 1548708688

Title

Owner/Program Director

Phone

(704) 218-2128

Specialties & licenses 1

Addresses

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.

• Teresa Meadows

  • Contractor
  • Monroe, NC
  • NPI 1548708688
  NPD (past) Authorized official

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1235678715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DEESE ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125003",
            "telephone_number": "704-218-2128",
            "fax_number": "704-218-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DEESE ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125003",
            "telephone_number": "704-218-2128",
            "fax_number": "704-218-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M SERENITY ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "704-218-2128",
        "authorized_official_credential": "LICENSE"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortney M. Luegers
• Angelica Lugo
• Teresa Luisa, LPN
• Luz a Chavez DDS PC (all family dentistry pc)
• Kelley Suzanne Lybrand, D.D.S.
• Chelsea Perrine Mabey, MS, CCC-SLP
• Ivan Mac, MD
• Teresa King Mace, MA CCC-SLP
• Victoria Mackay, M.S. ED CCC-SLP
• Natalie Ann Macknet, NP-C

• Preferred Provider Organization in Monroe, NC
• Providers in Monroe, NC by specialty
• Preferred Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.