SERENITY FAMILY CARE HOME #2
NPI 1447690417
Custodial Care Facility - Adult Care Home in Willard, NC

Active since July 05, 2013
912 BUCKHORN RD, WILLARD, NC 28478(910) 271-5269 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Serenity Family Care Home #2 NPPES

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

SERENITY FAMILY CARE HOME #2 (NPI 1447690417) is a healthcare organization registered as an adult care home in Willard, North Carolina and active in the NPI registry since July 2013. The organization maintains a secondary practice location in Harrells and lists Erica Teresa Fennell, Owner, as its authorized official.

NPPES Registry Identity

NPI1447690417
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSERENITY FAMILY CARE HOME
Location Address912 BUCKHORN RDWillard, NC 28478-9678
Mailing AddressPo Box 377Harrells, NC 28444-0377 · (910) 532-4864 · Fax (910) 532-2766
Organization SubpartNo
Authorized OfficialErica Teresa FennellOwner · (910) 271-5269
Enumeration DateJuly 5, 2013
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1447690417 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
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.
912 BUCKHORN RD, Willard, NC 28478

Other Names 1

Other NameSerenity Family Care Home #2

Secondary Practice Location 1

Location 1912 Buckhorn RdHarrells, NC 28444-0377 · Phone (910) 532-4864 · Fax (910) 532-2766

Other Providers at the Same Location NPPES 3

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

Residential Treatment Facility, Emotionally Disturbed Children
912 BUCKHORN RD
WILLARD, NC 28478
Custodial Care Facility (Adult Care Home)
912 BUCKHORN RD
WILLARD, NC 28478
Custodial Care Facility
912 BUCKHORN RD
WILLARD, NC 28478

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 Family Care Home's NPI number?

The NPI number for Serenity Family Care Home is 1447690417. It was assigned to this organization in the NPPES registry on July 5, 2013. The provider is also known as Serenity Family Care Home #2.

Where is Serenity Family Care Home located?

Serenity Family Care Home is located at 912 Buckhorn Rd, Willard, NC 28478. The listed phone number is (910) 271-5269.

What is Serenity Family Care Home'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 Serenity Family Care Home was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.