Organization Active NPI

Marickeyo S Huskey

Doing business as Serenity Living

  • Adult Care Home Facility
  • Shelby, NC
National Provider Identifier
1396128757
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-023-046 Issued in NC
Legal business name
MARICKEYO S HUSKEY
Doing business as
Serenity Living
Practice address
113 Leslie Dr
Shelby, NC 28152
Phone
(704) 487-5666
Fax
(704) 466-3043
NPI assigned
Jul 2, 2015
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Mr. Marickeyo S Huskey
Title
Owner/Administrator
Phone
(864) 491-9081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-023-046 NC Primary

Addresses

Primary practice location

113 Leslie Dr
Shelby, NC 28152

Mailing address

113 Serenity Dr
Shelby, NC 28152-7999
Phone (704) 487-5666

Other names 1

  • Serenity Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marickeyo S Huskey2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1396128757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SERENITY DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281527999",
            "telephone_number": "704-487-5666",
            "fax_number": "704-466-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LESLIE DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28152",
            "telephone_number": "704-487-5666",
            "fax_number": "704-466-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICKEYO S HUSKEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "HUSKEY",
        "authorized_official_first_name": "MARICKEYO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "864-491-9081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-023-046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.