Serenity Adult Day Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SERENITY ADULT DAY CARE

Practice address

824 Cross St
1000 Douglas St
Cleveland, MS 38732-3906

Phone

(662) 719-8603

NPI assigned

Jul 25, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Treva Evans Giles

Title

Owner

Phone

(662) 719-8603

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1346596541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 CROSS ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323906",
            "telephone_number": "662-719-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 CROSS ST",
            "address_2": "1000 DOUGLAS ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323906",
            "telephone_number": "662-719-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "TREVA",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-719-8603",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Kim Rushing
• Elizabeth Rustom, DPT
• Jillian Sbravati
• Christian D. Schunn, M.D.
• Screven County Hospital LLC
• Serenity Hospice
• Jack Bittell Sewell, M.D.
• Cassandra Latasha Shepard, FNP
• Covonda Lacraye Shepard
• Sarah Shepherd, LPC

• Adult Day Care Clinic/Center in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.