Active NPI
Sweet Home Serenity Care, LLC.
- Respite Care
- King George, VA
National Provider Identifier
1265811244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- HCO161285
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Toombs
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265811244 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
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.