Organization Active NPI

Serene Home Care, LLC

  • In Home Supportive Care Agency
  • Bluffton, SC
National Provider Identifier
1710508189
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENE HOME CARE, LLC
Practice address
18 Heather Glenn LN
Bluffton, SC 29910-7962
Phone
(843) 298-1556
NPI assigned
Apr 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Nadesha Green
Title
Owner
Phone
(843) 298-1556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

18 Heather Glenn LN
Bluffton, SC 29910-7962

Mailing address

18 Heather Glenn LN
Bluffton, SC 29910-7962
Phone (843) 298-1556

National Provider Directory

National Provider Directory

Locations

200 Main St
Ste 102H
Hilton Head Island, SC 29926
Phone (843) 785-2244

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1710508189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HEATHER GLENN LN",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107962",
            "telephone_number": "843-298-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HEATHER GLENN LN",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107962",
            "telephone_number": "843-298-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "NADESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-298-1556"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.