SERENITYHOMECARE
NPI 1215315528
Custodial Care Facility - Adult Care Home in Clinton, MS

Q: What is Serenityhomecare's NPI number?

The NPI number for Serenityhomecare is 1215315528. It was assigned to this organization in the NPPES registry on May 7, 2015.

Q: What is Serenityhomecare's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Serenityhomecare was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 07, 2015

1512 CLINTON RAYMOND RD, CLINTON, MS 39056(601) 942-9401 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Serenityhomecare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITYHOMECARE (NPI 1215315528) is a healthcare organization registered as an adult care home in Clinton, Mississippi and active in the NPI registry since May 2015. The organization lists Shaunena Irene Staple, Pca, as its authorized official.

NPPES Registry Identity

NPI1215315528

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameSERENITYHOMECARE

Location Address1512 CLINTON RAYMOND RDClinton, MS 39056-5400

Mailing Address1512 Clinton Raymond RdClinton, MS 39056-5400 · (601) 942-9401

Phone(601) 942-9401

Organization SubpartNo

Authorized OfficialShaunena Irene StaplePca · (601) 942-9401

Enumeration DateMay 7, 2015

✔ NPI 1215315528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in MS · DOMO5355

Definition

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.

1512 CLINTON RAYMOND RD, Clinton, MS 39056

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenityhomecare's NPI number?

The NPI number for Serenityhomecare is 1215315528. It was assigned to this organization in the NPPES registry on May 7, 2015.

Where is Serenityhomecare located?

Serenityhomecare is located at 1512 Clinton Raymond Rd, Clinton, MS 39056. The listed phone number is (601) 942-9401.

What is Serenityhomecare's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Serenityhomecare was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.