Organization Active NPI

Serenity Home Health Services

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1427258136
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3549 Issued in NC
Legal business name
SERENITY HOME HEALTH SERVICES
Practice address
2600 Sloan Dr
Charlotte, NC 28208-7407
Phone
(704) 395-0968
Fax
(704) 399-0825
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Mrs. Michele Nichols BurchNPI 1336296557
Title
Administration
Phone
(704) 395-0968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3549 NC Primary

Addresses

Primary practice location

2600 Sloan Dr
Charlotte, NC 28208-7407

Mailing address

PO Box 668491
Charlotte, NC 28266-8491
Phone (704) 399-0825

Other identifiers 1

IdentifierTypeStateIssuer
6601590MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1427258136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668491",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282668491",
            "telephone_number": "704-399-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SLOAN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282087407",
            "telephone_number": "704-395-0968",
            "fax_number": "704-399-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "NICHOLS",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "704-395-0968",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601590",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.