Organization Active NPI

Serenity Doves Home Care Services

  • Nursing Care Agency
  • McComb, MS
National Provider Identifier
1609525799
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.