Serene Manor Hospital Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

SERENE MANOR HOSPITAL INC

Practice address

970 Wray Street
Knoxville, TN 37917

Phone

(865) 523-9171

Fax

(865) 523-0021

NPI assigned

Sep 19, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Rita Griffin

Title

Administrator

Phone

(865) 523-9171

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Serene Manor Medical Center Other name

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1497740211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 WRAY STREET",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37917",
            "telephone_number": "865-523-9171",
            "fax_number": "865-523-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 WRAY STREET",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37917",
            "telephone_number": "865-523-9171",
            "fax_number": "865-523-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE MANOR HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "865-523-9171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "7440177",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74410177",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744017",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Manor Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Nursing Facility/Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.