Organization Active NPI

Serenity Hill Homes Inc

  • Home Health Agency
  • Tabor City, NC
National Provider Identifier
1508557430
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY HILL HOMES INC
Practice address
207 Hickman Rd
Tabor City, NC 28463-2038
Phone
(770) 598-3426
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Avonda Cox, DIRECTOR
Title
Owner
Phone
(770) 598-3426

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X
Transportation Network Company 342000000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

207 Hickman Rd
Tabor City, NC 28463-2038

Mailing address

319 Hamilton Dr
Conyers, GA 30094-8102
Phone (770) 598-3426

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1508557430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HAMILTON DR",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300948102",
            "telephone_number": "770-598-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HICKMAN RD",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284632038",
            "telephone_number": "770-598-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HILL HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "AVONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-598-3426",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tabor City, NC

Sources for this page

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