Serenity Home Health Care, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SERENITY HOME HEALTH CARE, LLC

Practice address

3622 Lyckan Pkwy Ste 4007
Durham, NC 27707-2566

Phone

(919) 748-3694

Fax

(919) 748-3722

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Evelean Simms, OWNER

Title

Owner

Phone

(919) 519-1405

Specialties & licenses 3

Addresses

Other names 1

• Precise Lab Services Doing business as

Locations

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1568065902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY STE 4007",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072566",
            "telephone_number": "919-748-3694",
            "fax_number": "919-748-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY STE 4007",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072566",
            "telephone_number": "919-748-3694",
            "fax_number": "919-748-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "EVELEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-519-1405",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precise Lab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucille Rose Sepic
• Richard Sepka
• Mahmoud Serag, DDS
• Serene Minds Mental Health PLLC
• Serenity Care & Wellness, PLLC
• Tatiana Sergent
• Jill Elizabeth Sergison, CNM
• Elizabeth Taylor Sergomassov, RPH
• Jen Serio, MSW, LCSW
• Richard Serra, M.D.

• Health Service Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.