Provider Demographics
NPI:1316187669
Name:SERENITY HOME CARE
Entity Type:Organization
Organization Name:SERENITY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:HUGHES-BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-872-3950
Mailing Address - Street 1:4000 WAKE FOREST RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6879
Mailing Address - Country:US
Mailing Address - Phone:919-872-3950
Mailing Address - Fax:919-872-3958
Practice Address - Street 1:1530 EVANS ST
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5301
Practice Address - Country:US
Practice Address - Phone:252-215-5813
Practice Address - Fax:252-215-5814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3771251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health