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SERENITY SUPPORTED LIVING
NPI 1427322742
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Tarboro, NC

Active since March 05, 2012
201 E PITT ST, SUITE 208-209, TARBORO, NC 27886(252) 823-0555 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Serenity Supported Living NPPES

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

SERENITY SUPPORTED LIVING (NPI 1427322742) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Tarboro, North Carolina and active in the NPI registry since March 2012. The organization lists Camillae' Tawnyanetta Worthington, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1427322742
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSERENITY SUPPORTED LIVING
Location Address201 E PITT ST, SUITE 208-209Tarboro, NC 27886-5192
Mailing Address216 John AveGreenville, NC 27858-4112 · (252) 754-9963 · Fax (252) 754-9964
Phone(252) 823-0555
Organization SubpartNo
Authorized OfficialCamillae' Tawnyanetta WorthingtonCeo/owner · (252) 823-0555
Enumeration DateMarch 5, 2012
✔ NPI 1427322742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
201 E PITT ST, Tarboro, NC 27886
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW LIFE COMMUNITY SERVICES, LLC
Community/Behavioral Health
201 E PITT ST, SUITE 101
TARBORO, NC 27886
Edgecombe County (252) 641-1711
GOOD KIDS THERAPEUTIC REOURCES
Community/Behavioral Health
201 E PITT ST, STE 207-208 (EDGECOMBE PROF. BLDG)
TARBORO, NC 27886
Edgecombe County (919) 491-3299
PROSOURCE THERAPEUTICS, LLC
Counselor (Professional)
201 E PITT ST
TARBORO, NC 27886
Edgecombe County (252) 353-7025
SINCLAIR INSTITUTE OF TRANSFORMATIONAL CARE LLC
Substance Abuse Rehabilitation Facility
201 E PITT ST, SUITE 201
TARBORO, NC 27886
Edgecombe County (252) 375-1936
LIFE ENHANCEMENT SERVICES
Case Management
201 E PITT ST, SUITE 102
TARBORO, NC 27886
Edgecombe County (919) 395-4718

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 Serenity Supported Living's NPI number?

The NPI number for Serenity Supported Living is 1427322742. It was assigned to this organization in the NPPES registry on March 5, 2012.

Where is Serenity Supported Living located?

Serenity Supported Living is located at 201 E Pitt St Suite 208-209, Tarboro, NC 27886. The listed phone number is (252) 823-0555.

What is Serenity Supported Living's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Serenity Supported Living was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.