SERENE ADULT CARE (NPI# 1346598380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346598380 |
| Entity Type | Organization |
| Organization Name | SERENE ADULT CARE |
| Practice Address |
261 H.r. Watts Rd Sumrall MS 39482 |
| Mailing Address |
P.o Box 684 Sumrall MS 39482 |
| Practice Telephone | 6013362182 |
| Practice Fax Number | 8587362182 |
| Mailing Telephone | 6013362182 |
| Mailing Fax Number | 8587362182 |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |
| Authorized Official Name | MISS CAROL ALMEDIA WATTS (PERSONAL CARE ATTENDANT) |
| Authorized Official Telephone | 6013362182 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
A038080 | MS | Nursing Service Related Providers |
| Street Address |
261 H.R. WATTS RD |
| City | SUMRALL |
| State | MS |
| Zip Code | 39482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891255295 | Southern Saferide Transportation | Non-emergency Medical Transport (VAN) | 309 Hr Watts Road, Sumrall, MS 39482 | 2019-03-21 |
| 1346472628 | Patsy K Mcgrew | Counselor | 14 Ravenwood Lane, Sumrall, MS 39482 | 2009-08-20 |
| 1952572919 | Brett Alan Valentine D.m.d. | Dentist | 4864-b Hwy 589, Sumrall, MS 39482 | 2008-03-18 |
| 1205924834 | Medical Plus, LLC | Durable Medical Equipment & Medical Supplies | 4 Preston St, Sumrall, MS 39482 | 2006-10-10 |
| 1396844734 | Brett A Valentine | Dentist | 4864 B Hwy 589, Sumrall, MS 39482 | 2006-09-22 |
| 1881703429 | Kimberly R Schramm | Physical Therapist | 1240 Highway 42, Sumrall, MS 39482 | 2006-08-29 |
| 1942217757 | John David Bullock | Family Medicine | 1238 Highway 42, Sumrall, MS 39482 | 2006-08-02 |
| 1871128934 | Brandon Scott Nesler | Pharmacist | 1109 Hwy 42, Sumrall, MS 39482 | 2020-03-10 |
| 1366004731 | Sumrall Drug Store LLC | Pharmacy | 1109 Hwy 42, Sumrall, MS 39482 | 2019-07-05 |
| 1326524646 | Jamie Elaine Thornton | Nurse Practitioner | 1238 Highway 42, Sumrall, MS 39482 | 2018-07-19 |
| Find all providers in zip 39482 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
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| 1023629227 | Andrelena Harris | Technician | 121 Tillis Dr, Pinola, MS 39149-3165 | 2020-08-11 |
| 1467078956 | Workforce & Economic Strategies | Technician | 512 N Thayer Ave, Aberdeen, MS 39730-2314 | 2020-06-19 |
| 1760022842 | Yolanda Y Cartlidge | Technician | 500 Edgewood Ln, Brandon, MS 39042-3300 | 2020-01-07 |
| 1811534472 | Lawrence Self | Technician | 19150 Highway 61 N, Lyon, MS 38645-9779 | 2019-12-03 |
| 1164063376 | Reginald Lumpkin | Technician | 1160 Joanne St Apt 108, Jackson, MS 39204-5253 | 2019-09-30 |
| 1275181901 | Brenda Joyce Nicholson | Technician | 1677 Camp Eight Rd, Richton, MS 39476-8932 | 2019-08-27 |
| 1467006106 | Shenelle Savage | Technician | 131 Creekview Ln, Fayette, MS 39069-4596 | 2019-07-31 |
| 1811453483 | D'andrea Y Swims | Technician | 509 Turtle Ln, Brandon, MS 39047-5088 | 2019-02-19 |
| 1851874994 | P-cares Medical Supplies, LLC | Technician | 3476 River Rd, Fayette, MS 39069-4602 | 2018-09-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.