Active NPI
Serenity Doves Home Care Services
- Nursing Care Agency
- McComb, MS
National Provider Identifier
1609525799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- SERENITY DOVES HOME CARE SERVICES
- Practice address
- 821 Summit St
McComb, MS 39648-3151 - Phone
- (769) 204-3699
- Fax
- (601) 600-2165
- NPI assigned
- Mar 23, 2022
- Last updated
- Mar 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherry Denise Lewis
- Title
- Owner
- Phone
- (769) 204-3699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | NU | Primary |
Addresses
Primary practice location
821 Summit St
McComb, MS 39648-3151
Mailing address
PO Box 1472
McComb, MS 39649-1472
Phone (769) 204-3699
National Provider Directory
National Provider DirectoryLocations
821 Summit St
McComb, MS 39648
Phone (769) 204-3699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647993600000",
"number": "1609525799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1472",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396491472",
"telephone_number": "769-204-3699",
"fax_number": "601-600-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 SUMMIT ST",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396483151",
"telephone_number": "769-204-3699",
"fax_number": "601-600-2165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY DOVES HOME CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-23",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "SHERRY",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "769-204-3699"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.