Active NPI
Serenity Senior Care,Inc
- Assisted Living Facility
- Highland Springs, VA
National Provider Identifier
1487213336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SERENITY SENIOR CARE,INC
- Practice address
- 126 N Cedar Ave
Highland Springs, VA 23075-1429 - Phone
- (804) 999-1719
- NPI assigned
- Jun 12, 2019
- Organization subpart
- Yes
- Parent organization
- SERENITY SENIOR CARE,INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Desiree Lancaster-Bussey
- Title
- Ceo
- Phone
- (804) 999-1719
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Adult Care Home Facility | 311ZA0620X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
126 N Cedar Ave
Highland Springs, VA 23075-1429
Mailing address
126 N Cedar Ave
Highland Springs, VA 23075-1429
Phone (804) 999-1719
National Provider Directory
National Provider Directory- Part of
- Serenity Senior Careinc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Henrico, VA
- NPI 1801455753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560297600000",
"number": "1487213336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 N CEDAR AVE",
"city": "HIGHLAND SPRINGS",
"state": "VA",
"postal_code": "230751429",
"telephone_number": "804-999-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 N CEDAR AVE",
"city": "HIGHLAND SPRINGS",
"state": "VA",
"postal_code": "230751429",
"telephone_number": "804-999-1719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY SENIOR CARE,INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SERENITY SENIOR CARE,INC",
"enumeration_date": "2019-06-12",
"last_updated": "2019-06-12",
"status": "A",
"authorized_official_last_name": "LANCASTER-BUSSEY",
"authorized_official_first_name": "DESIREE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "804-999-1719"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Springs, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.