Serenity of Wilson Home Care Inc.

Primary specialty

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

License

MHL-098-179 Issued in NC

Legal business name

SERENITY OF WILSON HOME CARE INC.

Practice address

4004 Eclipse Way
Wilson, NC 27896-7801

Phone

(252) 674-7294

Fax

(252) 281-1048

NPI assigned

Jun 27, 2012

Organization subpart

No

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

Authorized official

Name

Raven Janeen BarnesNPI 1033625447

Title

Owner/Director

Phone

(252) 281-1048

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raven Janeen Barnes

  • Family Nurse Practitioner
  • Hookerton, NC
  • NPI 1033625447
  NPD (past) Authorized official

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1669736252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 BARRINGTON DR N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968852",
            "telephone_number": "252-282-1048",
            "fax_number": "252-281-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 ECLIPSE WAY",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278967801",
            "telephone_number": "252-674-7294",
            "fax_number": "252-281-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY OF WILSON HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_middle_name": "JANEEN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "252-281-1048"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-098-179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gardinia Anette Searcy, DDS
• Second Chance Residential Services, LLC
• Erica A Seekell, PHARMD RPH
• Magdalena Selman, OTR/L
• Kelly Anne Senglar-Vitale, PT, DPT, COMT, MDT
• Lisa Butler Sewell, LCSW
• Barbara Sharp, LCSW-A
• She Soars LLC
• Jordan Andrew Shealy, MD
• Tammy Winn Shealy, PHARMD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wilson, NC
• Providers in Wilson, 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 Jun 27, 2012; 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.