NPIMap

Organization Active NPI

Serenity Home Care Agency

  • In Home Supportive Care Agency
  • Wilmington, NC
National Provider Identifier
1841553435
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4527 Issued in NC
Legal business name
SERENITY HOME CARE AGENCY
Practice address
12 S 16TH St
Wilmington, NC 28401-4924
Phone
(910) 340-2254
NPI assigned
Jun 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
April Yvette Sidbury
Title
Owner
Phone
(910) 340-2254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4527 NC Primary

Addresses

Primary practice location

12 S 16TH St
Wilmington, NC 28401-4924

Mailing address

PO Box 128
Maple Hill, NC 28454-0128
Phone (910) 340-2254

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1841553435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "MAPLE HILL",
            "state": "NC",
            "postal_code": "284540128",
            "telephone_number": "910-340-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014924",
            "telephone_number": "910-340-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "SIDBURY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-340-2254"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.