Organization Active NPI

Serenity Family Care, LLC

  • Clinic/Center
  • Hickory, NC
National Provider Identifier
1396922209
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
FCL-018-028 Issued in NC
Legal business name
SERENITY FAMILY CARE, LLC
Practice address
2415 S Center St
Hickory, NC 28602-5351
Phone
(828) 322-8890
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Mr. Danny Jeremiah Foster
Title
Bus. MGR.
Phone
(828) 322-8890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FCL-018-028 NC Primary

Addresses

Primary practice location

2415 S Center St
Hickory, NC 28602-5351

Mailing address

2415 S Center St
Hickory, NC 28602-7230
Phone (828) 322-8890

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1396922209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 S CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286027230",
            "telephone_number": "828-322-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 S CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286025351",
            "telephone_number": "828-322-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "JEREMIAH",
        "authorized_official_title_or_position": "BUS. MGR.",
        "authorized_official_telephone_number": "828-322-8890",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "FCL-018-028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.