NPIMap

Organization Active NPI

Serenity Home Care, Inc

  • Home Health Aide
  • Knightdale, NC
National Provider Identifier
1255413860
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HC3411 Issued in NC
Legal business name
SERENITY HOME CARE, INC
Practice address
519 Laurens Way
Knightdale, NC 27545-7635
Phone
(919) 217-6200
Fax
(919) 217-7030
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Linda Kay Hughes
Title
Owner/ Director
Phone
(919) 217-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X HC3411 NC Primary

Addresses

Primary practice location

519 Laurens Way
Knightdale, NC 27545-7635

Mailing address

519 Laurens Way
Knightdale, NC 27545-7635
Phone (919) 217-6200

Other identifiers 1

IdentifierTypeStateIssuer
6601522MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Serenity Home Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1255413860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 LAURENS WAY",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457635",
            "telephone_number": "919-217-6200",
            "fax_number": "919-217-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 LAURENS WAY",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457635",
            "telephone_number": "919-217-6200",
            "fax_number": "919-217-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "919-217-6200"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC3411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601522",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.