SWEET SERENITY HOME (NPI# 1578757811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578757811 |
Entity Type | Organization |
Organization Name | SWEET SERENITY HOME |
Practice Address |
1840 Bozy Rd Lot 70 Scranton SC 29591-5738 |
Practice Telephone | 8433899024 |
Mailing Telephone | 8433899024 |
Enumeration Date | 2007-08-29 |
Last Update Date | 2007-08-29 |
Authorized Official Name | MS. CARRIE BURGESS HICKSON (NURSE) |
Authorized Official Telephone | 8433899024 |
Authorized Official Credential | LPN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
Street Address |
1840 BOZY RD LOT 70 |
City | SCRANTON |
State | SC |
Zip Code | 29591-5738 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063673655 | Wilson Medical Transport | Ambulance | 1943 Boyd Rd, Scranton, SC 29591 | 2008-06-17 |
1013192772 | Medical Response Services | Ambulance | 1943 Boyd St., Scranton, SC 29591 | 2007-12-31 |
1114363926 | Rhonda Matthews | Registered Nurse | 1649 Us Hwy 52, Scranton, SC 29591-0129 | 2013-05-20 |
1073073532 | Whitley Weatherford | Nurse Practitioner | 288 Anderson Bridge Rd, Scranton, SC 29591-5002 | 2019-03-21 |
1043666118 | Darion Mcfadden | Counselor | 586 Karl L Floyd Rd, Scranton, SC 29591-5751 | 2016-05-09 |
1245314699 | Palmetto Lake City Operating LLC | Skilled Nursing Facility | 1940 Boyd Rd, Scranton, SC 29591-5835 | 2006-10-24 |
1033495270 | Derick Michael Bosley | Contractor | 1940 Boyd Rd, Scranton, SC 29591-5835 | 2011-11-02 |
1811122617 | D-lite Home Health Care, LLC | Nursing Care | 1943 Boyd Rd, Scranton, SC 29591-5835 | 2009-05-21 |
1972742369 | T & E Community Resource Center | Non-emergency Medical Transport (VAN) | 1943 Boyd Rd, Scranton, SC 29591-5835 | 2009-02-10 |
1255588539 | Idi Medical Billing Services | Ambulance | 1943 Boyd Rd, Scranton, SC 29591-5835 | 2008-08-19 |
Find all providers in zip 29591 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548868417 | Williams Community Care Home | Custodial Care Facility | 7705 Richard St, Columbia, SC 29209-3733 | 2020-10-13 |
1497314256 | The Barr Transition Place, LLC | Custodial Care Facility | 2422 Martin Luther King Jr Hwy, Kingstree, SC 29556-6945 | 2019-06-06 |
1265953590 | Club Horizons of Charleston, LLC | Custodial Care Facility | 8088 Rivers Ave, North Charleston, SC 29406-9235 | 2017-06-27 |
1720534985 | Caring Hearts Companions, LLC | Custodial Care Facility | 1185 Blanton Rd, Sharon, SC 29742-8752 | 2016-08-28 |
1295188001 | Professional Cleaning & Care Services LLC | Custodial Care Facility | 620 16th Ave S, Unit 89, Surfside Beach, SC 29575-3069 | 2016-07-16 |
1801241971 | Palmetto Senior Care Shandon | Custodial Care Facility | 1100 Shirley St Ste 1, Columbia, SC 29205-1370 | 2016-04-26 |
1346634904 | Cheryl Renee Gibson-dalton | Custodial Care Facility | 1231 Eutaw St, Orangeburg, SC 29115-3529 | 2015-03-22 |
1447648001 | Carriage House Senior Living of Hartsville | Custodial Care Facility | 1131 E Home Ave, Hartsville, SC 29550-3411 | 2015-01-06 |
1881012177 | Joshua's Foundation Inc. | Custodial Care Facility | 388 Elbow Circle, Ridgeway, SC 29130-0035 | 2014-04-03 |
1427480193 | Step By Step To Nursing | Custodial Care Facility | 237 Chartwell Rd, Columbia, SC 29210-5834 | 2013-08-05 |
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.