Organization Active NPI

Hands of Serenity Home Care, LLC

  • In Home Supportive Care Agency
  • High Point, NC
National Provider Identifier
1275163859
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HANDS OF SERENITY HOME CARE, LLC
Practice address
110 Scott Ave Ste 10
High Point, NC 27262-7813
Phone
(336) 870-1645
Fax
(336) 870-1654
NPI assigned
Jan 22, 2020
Last updated
Jan 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Vivian KollockNPI 1851777155
Title
Owner
Phone
(336) 491-4057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

110 Scott Ave Ste 10
High Point, NC 27262-7813

Mailing address

110 Scott Ave Ste 10
High Point, NC 27262-7813
Phone (336) 870-1645

National Provider Directory

National Provider Directory

Locations

110 Scott Ave
Ste 10
High Point, NC 27262
Phone (336) 870-1645

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1275163859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SCOTT AVE STE 10",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627813",
            "telephone_number": "336-870-1645",
            "fax_number": "336-870-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SCOTT AVE STE 10",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627813",
            "telephone_number": "336-870-1645",
            "fax_number": "336-870-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS OF SERENITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "KOLLOCK",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-491-4057"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.