Organization Active NPI

Sweet Home Serenity Care, LLC.

  • Respite Care
  • King George, VA
National Provider Identifier
1265811244
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
HCO161285 Issued in VA
Legal business name
SWEET HOME SERENITY CARE, LLC.
Practice address
13279 Kings Hwy
Suite #1
King George, VA 22485-4303
Phone
(540) 384-2273
Fax
(540) 693-8258
NPI assigned
May 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Wendy ToombsNPI 1790499762
Title
Owner
Phone
(540) 384-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X HCO161285 VA Primary

Addresses

Primary practice location

13279 Kings Hwy
Suite #1
King George, VA 22485-4303

Mailing address

13279 Kings Hwy
Suite #1
King George, VA 22485
Phone (540) 384-2273

Other identifiers 1

IdentifierTypeStateIssuer
1265811244MedicaidVA

National Provider Directory

National Provider Directory

Locations

13279 Kings Hwy
#1
King George, VA 22485
Phone (540) 384-2273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1265811244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13279 KINGS HWY",
            "address_2": "SUITE #1",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "22485",
            "telephone_number": "540-384-2273",
            "fax_number": "540-693-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13279 KINGS HWY",
            "address_2": "SUITE #1",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854303",
            "telephone_number": "540-384-2273",
            "fax_number": "540-693-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET HOME SERENITY CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-24",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "TOOMBS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-384-2273"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "HCO161285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265811244",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.