NPIMap

Organization Active NPI

Serenity Nursing Services, LLC.

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1932274313
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERENITY NURSING SERVICES, LLC.
Practice address
6636 E W T Harris Blvd Ste H
Charlotte, NC 28215-5125
Phone
(704) 567-8000
Fax
(704) 567-4600
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Monica Asare-Boadu, RN C BSN
Title
Administrator/Ceo
Phone
(704) 567-8000

Specialties & licenses 1

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

Addresses

Primary practice location

6636 E W T Harris Blvd Ste H
Charlotte, NC 28215-5125

Mailing address

6636 E W T Harris Blvd
Suite #H
Charlotte, NC 28215-1985
Phone (704) 567-8000

Other names 1

  • Serenity Nursing Services LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Serenity Nursing Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1932274313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 E W T HARRIS BLVD",
            "address_2": "SUITE #H",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282151985",
            "telephone_number": "704-567-8000",
            "fax_number": "704-567-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 E W T HARRIS BLVD STE H",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155125",
            "telephone_number": "704-567-8000",
            "fax_number": "704-567-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY NURSING SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "ASARE-BOADU",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "704-567-8000",
        "authorized_official_credential": "RN C BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Nursing Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.