Serenity Therapeutic Services, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

SERENITY THERAPEUTIC SERVICES, LLC

Practice address

207 South Stewart Street
Raeford, NC 28376-3112

Phone

(910) 583-1104

Fax

(910) 263-8499

NPI assigned

Jan 4, 2010

Last updated

Feb 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Darrin Lee McNeillNPI 1962913673

Title

Administrator

Phone

(910) 583-1104

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Serenity Residential Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Serenity Residential Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fayetteville, NC
  • NPI 1033382486
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darrin Lee McNeill, MSW,LCSWA,LCASA

  • Clinical Social Worker
  • Raeford, NC
  • NPI 1962913673
  NPD (past) Authorized official

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1568792109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64136",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283060136",
            "telephone_number": "910-583-1104",
            "fax_number": "910-263-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SOUTH STEWART STREET",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763112",
            "telephone_number": "910-583-1104",
            "fax_number": "910-263-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-583-1104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilbur Schrum, PA
• Francis Scott-Hudson, MS-CCC, SLP
• Shakhya Scriven
• Brianna Seals
• Self Centered LLC (Self Centered Body & Wellness)
• Kathy Sanders Settle, FNP
• James William Shaffer, PA-C
• Sharper Images of Fayetteville, Inc
• Nykichia Shamon Shaw, WHNP-BC
• Phyllis Anita Shaw

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Raeford, NC
• Providers in Raeford, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.