Organization Active NPI

Serene Home Health Care, LLC.

  • In Home Supportive Care Agency
  • Roanoke Rapids, NC
National Provider Identifier
1912694704
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENE HOME HEALTH CARE, LLC.
Practice address
709 Franklin St
Roanoke Rapids, NC 27870-2515
Phone
(252) 536-8960
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Evetta I Bradley, RN
Title
Owner/Director
Phone
(252) 536-8960

Specialties & licenses 1

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

Addresses

Primary practice location

709 Franklin St
Roanoke Rapids, NC 27870-2515

Mailing address

709 Franklin St
Roanoke Rapids, NC 27870-2515
Phone (252) 536-8960

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1912694704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 FRANKLIN ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702515",
            "telephone_number": "252-536-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 FRANKLIN ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702515",
            "telephone_number": "252-536-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HOME HEALTH CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "EVETTA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "252-536-8960",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.