SERENITY PLACE
NPI 1497882609
Custodial Care Facility - Adult Care Home in Raleigh, NC

Q: What is Serenity Incorporated's NPI number?

The NPI number for Serenity Incorporated is 1497882609. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Serenity Place.

Q: What is Serenity Incorporated's specialty?

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

Active since February 27, 2007

7901 OLD STAGE RD, RALEIGH, NC 27603(919) 771-9173(919) 367-0816 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Serenity Place NPPES

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

SERENITY PLACE (NPI 1497882609) is a healthcare organization registered as an adult care home in Raleigh, North Carolina and active in the NPI registry since February 2007. The organization lists Clarice Shyllon Faulkner, President, as its authorized official.

NPPES Registry Identity

NPI1497882609

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameSERENITY INCORPORATED

Location Address7901 OLD STAGE RDRaleigh, NC 27603-5519

Mailing AddressPo Box 1583Cary, NC 27512-1583 · (919) 771-9173 · Fax (919) 367-0816

Phone(919) 771-9173

Fax(919) 367-0816

Organization SubpartYes

Authorized OfficialClarice Shyllon FaulknerPresident · (919) 771-9173

Enumeration DateFebruary 27, 2007

Last NPPES UpdateJune 30, 2008

✔ NPI 1497882609 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 NC · MHL-092-396

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.

7901 OLD STAGE RD, Raleigh, NC 27603

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Other Names 1

Doing Business AsSerenity Place

Other Identifiers 1

Medicaid7803874NC

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 Incorporated's NPI number?

The NPI number for Serenity Incorporated is 1497882609. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Serenity Place.

Where is Serenity Incorporated located?

Serenity Incorporated is located at 7901 Old Stage Rd, Raleigh, NC 27603. The listed phone number is (919) 771-9173.

What is Serenity Incorporated'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 Incorporated was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.