Lake Wylie Serenity Homes LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

LAKE WYLIE SERENITY HOMES LLC

Practice address

301 Wilson St N
Rock Hill, SC 29730-4047

Phone

(571) 263-3800

NPI assigned

Oct 13, 2025

Organization subpart

Yes

Parent organization

LAKE WYLIE SERENITY HOMES LLCAs reported in NPPES

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

Authorized official

Name

Fauzia Tasleima Jones

Title

Owner

Phone

(571) 263-3800

Specialties & licenses 1

Addresses

Part of

Lake Wylie Serenity Homes LLC

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1669348207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 CHARLOTTE HWY",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297108559",
            "telephone_number": "571-263-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WILSON ST N",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304047",
            "telephone_number": "571-263-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WYLIE SERENITY HOMES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE WYLIE SERENITY HOMES LLC",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "FAUZIA",
        "authorized_official_middle_name": "TASLEIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-263-3800"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason T Laboe
• Shebrea Ladson, BS, MSW
• Ethan Raphael Lafontaine, DPT
• Alexa Dawn Lagaly, FNP
• Jeffrey D Lahr, M.A., A.T.,C.
• Lakeshore Palliative Care LLC
• Anthony Tricuong Lam, DO
• Anna Lampke, LMT
• Mitch Landry, RBT
• Julie Niver Lane

• Home Health Registered Nurse in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Home Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.