Serene Adult Care

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

A038080 Issued in MS

Legal business name

SERENE ADULT CARE

Practice address

261 H.R. Watts Rd
Sumrall, MS 39482

Phone

(601) 336-2182

Fax

(858) 736-2182

NPI assigned

Aug 23, 2012

Last updated

Aug 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Carol Almedia Watts

Title

Personal Care Attendant

Phone

(601) 336-2182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1346598380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 684",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "39482",
            "telephone_number": "601-336-2182",
            "fax_number": "858-736-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 H.R. WATTS RD",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "39482",
            "telephone_number": "601-336-2182",
            "fax_number": "858-736-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ALMEDIA",
        "authorized_official_title_or_position": "PERSONAL CARE ATTENDANT",
        "authorized_official_telephone_number": "601-336-2182",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MS",
            "license": "A038080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Nichole Racey, D.M.D.
• Jamie Goodwin Rawls, MD
• Jefferson Rogers, M.D.
• Leslie Rollins, FNP
• Kimberly R Schramm, PT
• Craig Simm
• Brandon Coby Smith, AANP, FNP-C, ENP-C
• Sarah Alyssa Smith, FNP-C
• South Mississippi Emergency Physicians,PA
• Southern Saferide Transportation

• Personal Care Attendant in Sumrall, MS
• Providers in Sumrall, MS by specialty
• Personal Care Attendant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.