SERENITY FCH #3 (NPI# 1699154088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699154088 |
| Entity Type | Organization |
| Organization Name | SERENITY FCH #3 |
| Practice Address |
100 West Lisbon Magnolia Rd Rose Hill NC 28458-1333 |
| Mailing Address |
Po Box 377 Harrells NC 28444-0377 |
| Practice Telephone | 9105324864 |
| Practice Fax Number | 9105322766 |
| Mailing Telephone | 9105324864 |
| Mailing Fax Number | 9105322766 |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |
| Authorized Official Name | ERICA FENNELL (OWNER) |
| Authorized Official Telephone | 9105324864 |
| 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 |
100 WEST LISBON MAGNOLIA RD |
| City | ROSE HILL |
| State | NC |
| Zip Code | 28458-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395457 | Changing Paths of Nc 2 LLC | Substance Abuse Rehabilitation Facility | 150 Cedar Ln, Rose Hill, NC 28458 | 2020-08-06 |
| 1487211827 | Teondra Bannerman | Counselor | 318 S Sycamore St, Rose Hill, NC 28458 | 2019-05-21 |
| 1619440633 | Tiara Fennell | Marriage & Family Therapist | 871 Pasture Branch Rd., Rose Hill, NC 28458 | 2019-01-03 |
| 1275011975 | Karen Brown | Counselor | 416 W Ridge Street, Rose Hill, NC 28458 | 2018-08-03 |
| 1831613306 | Rosehill Opco, LLC | Assisted Living Facility | 571 S Sycamore St, Rose Hill, NC 28458 | 2017-07-27 |
| 1093268146 | La Voncia Regan Peterson | Social Worker | 416 W. Ridge St, Rose Hill, NC 28458 | 2016-07-25 |
| 1952775546 | Pamela Bannerman-smith | Counselor | 319 N Sycamore St, Rose Hill, NC 28458 | 2015-11-19 |
| 1225402019 | Jessamyn Lynn Angelastro | Social Worker | 416 W Ridge St., Rose Hill, NC 28458 | 2015-11-17 |
| 1891078168 | Ernest Chester Jones Jr. | Pharmacist | 210 North Sycamore, Rose Hill, NC 28458 | 2011-09-23 |
| 1447551965 | New Dimension Group | Community/Behavioral Health | 416 West Ridge St., Rose Hill, NC 28458 | 2010-11-15 |
| Find all providers in zip 28458 | ||||
| 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 |
|---|---|---|---|---|
| 1043841174 | Selah Home LLC | Custodial Care Facility | 15834 Sw Butler Rd, Rose Hill, KS 67133-8549 | 2020-01-28 |
| 1841562006 | Peace of Mind | Custodial Care Facility | 400 E School St, Rose Hill, KS 67133-9794 | 2012-02-03 |
| 1407993413 | Rosemary Rest Home, Inc. | Custodial Care Facility | 571 South Sycamore St, Rose Hill, NC 28458-0928 | 2007-01-31 |
| 1407832876 | Rose Hill Health Services, LLC | Custodial Care Facility | 601 N Rose Hill Rd, Rose Hill, KS 67133-9336 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SERENITY FCH #3.
| 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.